REQUEST FOR RETURN AGREEMENT
(delivery address)
Customer code (required) Organisation Firstname & Lastname (required) Address (required) Address supplement Postal code (required) City (required) Phone (required) Fax Email (required) File reference
Article reference —Please choose an option—870088008900511351525531510052005300470471472Other Quantity —Please choose an option—12345678910Other Reason for return —Please choose an option—HS PiezoNo getting startedLow flowNo gas outletLeakHS valveOther Other (please specify)
Article reference —Please choose an option—2949393593810081108025109159209309409Other Quantity —Please choose an option—12345678910Other Reason for return —Please choose an option—Do not heatLow flowFreaksResistance grilledOther Other (please specify)
Article reference —Please choose an option—20104040 RAFALE4065 RAFALE45004500V4904914964750Other Quantity —Please choose an option—12345678910Other Reason for return —Please choose an option—HS PiezoNot turn onDo not heat upDeclining dietBroken spearOther Other (please specify)
Article reference —Please choose an option—620CR640CR62121027 RAPTOR1029 RAPTOR1045 RAPTOR1030 LANCE 30KW1070 LANCE 70KW1090 LANCE 90KW1001 LANCE+GRATTOIR1150 LANCE 160KW150TL200150TL40029012902Other Quantity —Please choose an option—12345678910Other Reason for return —Please choose an option—HS PiezoBroken spearNot turn onLow flowTrigger does not workOther Other (please specify)
Article reference —Please choose an option—177817797804678467961786367/86367/9367/86364Other Quantity —Please choose an option—12345678910Other Reason for return —Please choose an option—HS PiezoBroken tipNot turn onLow flowCoating failureLeakFire catchOther Other (please specify)
(required)
Exchange or repair under warrantyCreditRepair estimate
A proof of purchase dated from your customer (receipt, invoice, delivery note ..) must be attached to this application. For any product out of warranty, a repair estimate will be made subject to acceptance of the customer within fifteen (15) days from the issuance thereof. Passé ce délai, il sera automatiquement annulé.
Click to attach the proof of purchase Notes / Messages