Warranty Claim Form Customer DetailsIf you are a contractor filling out this form, please enter CUSTOMER DETAILS below and NOT YOUR OWN.First Name(Required)Surname(Required)Phone Number(Required)Site ContactEmail(Required) Installed in a Residential or Commercial Application(Required) Residential Commercial Installation Address(Required) Street Address City State Postcode Purchase DetailsStore Name(Required)Date of Purchase(Required) Installation DetailsInstallation Date(Required) Product DetailsFaulty Product/s(Required)QuantityModel Number Add RemoveFault Description(Required)Installed with a Remote control?(Required) Yes No Installed with an isolation switch?(Required) Yes No Unknown An isolation switch will normally be installed on the wall resembling a light switchIs the unit installed with an extension rod?(Required) Yes No Is the fan installed on a ceiling at a height greater than 3 metres above floor level?(Required) Yes No DocumentsInstallation Receipt from Installing Electrician(Required)Max. file size: 50 MB. Copy of the Purchase Receipt(Required)Max. file size: 50 MB. Images/Video Drop files here or Select files Max. file size: 50 MB. TermsI, 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, labor and material cost of any replacement parts or products if required, 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. The current minimum charge will be $190+GST. I, the Customer, acknowledge that I will be liable for this charge should the authorised Martec 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.Terms(Required) I Agree (if you have any questions please email customerservice@martecltd.com.au)
