Call us:
1300 883 888

Product was successfully added to your shopping cart.
2/26 Mcilwraith Street
Wetherill Park
NSW 2164
Phone: 1300 883 888
Email: info@simcogroup.com.au

WARRANTY REQUEST FORM

To provide the best possible service please ensure the requested information below is completed in full. All fields are mandatory, make, model and serial number, along with other essential information. To secure a call, credit card details must be completed below. Please return this form via email.

THIS FORM MUST BE COMPLETED AND RETURNED OR WARRANTY CANNOT BE PROCESSED

Name of contact person on site :

Date :

Business name :

Opening Hours :

Address :

Email :

Phone (Site) :

Mobile :

Equipment Type :

Brand :

Model no :

Serial no :

Invoice no :

Date of purchase :

(please provide a copy of your tax invoice or delivery docket as proof of purchase)

Description of fault :

Has the following been checked (tick box if appropriate and checked)?

Electrical power supply? :

Gas? :

Water Supply? :

Regular cleaning and service? :

If it is the gas unit, please supply certificate of compliance and provide the fully licensed gas fitter details below:

Company :

Name :

License No :

Contact No :

Email :

CREDIT CARD INFORMATION MUST BE PROVIDED AS SECURITY AGAINST FALSE WARRANTY CALL-OUTS. FAILURE TO DO SO WILL RESULT IN REQUEST BEING UNATTENDED. CREDIT CARD SURCHARGE IS 2%. CVV IS MANDATORY.

CREDIT CARD DETAILS – Required as security against chargeable work (see note below)

Card No :

Card type: Visa / Mastercard

Cardholder Name :

CVV :

Signature :

Expiry Date :

PLEASE NOTE : Warranty call-outs take place Mondays to Fridays between 8.00 and 16.30 (except public holidays). Any calls outside these times will be subject to penalty rates. Certain items such as glass components, light fittings and thermocouples are not covered under warranty. Claims for noncovered parts, no faults found, travel over 50km or other items outside our standard terms and conditions will be chargeable. Any chargeable items will be COD terms – payable onsite.