Account Details
Account Number:
Account Name:
Branch Name:
Store Contact Name:
Store Phone Number:
Store Email:
Product Details
Proof of purchase received:
*Please note no proof of purchase will invalidate your guarantee.
Purchase Currency:
Value:
Fault Type
Zip:
Seams:
Stitching:
Handle:
Clasp/Button/Other fastening:
Other:
Please specify:
Fault Description
Consumer Settlement
Please tick if the customer refund/replacement has been completed in store and select the method used below.
Refund:
Replacement Product: