Customer Details
Surname...................................................... Given Name.........................................
Address......................................................................................................................
Daytime Ph.................................................. A/h Ph..................................................
Email..................................
........................................................................................
Warranty Details
Date of Purchase......................................... Installation Date...................................
Product Description...................................................................................................
Store............................................................ P.O. No................................................
Fault Description........................................................................................................
...................................................................................................................................
...................................................................................................................................
...................................................................................................................................
I, the Customer, hereby acknowledge that I have read and agree with the Martec Pty Ltd
warranty statement and the conditions found within regarding the warranty service and its
limitations.
I, the Customer, acknowledge that Martec Pty Ltd reserves the right to charge me, the
Customer, $80 plus GST plus the costs of any replacement parts or products (if any), in
addition to the costs associated with shipping these parts to my location should the reported
fault not be an actual manufacturing fault or malfunction. This will be assessed on a case
by case basis by the authorised Martec Service Agent dispatched to my premises.
I, the Customer, acknowledge that I will be liable for this charge should the authorised Mar-
tec Service Agent determine this to be the case. Failure to pay warranty recovery charges
issued by Martec Pty Ltd will result in the termination of any remaining warranty, in addition
to possible debt collection procedures.
I, …………………………………………………………., do hereby certify that I have
read and comply with the aforementioned warranty conditions and agree to the
conditions of this warranty claim.
Print Name:.............................................................................................................
Signature:................................................................................................................
Date:...........................
Rev. 13/02/13
Prepared by: md
Approved by: la
