Please fill out the attached form so we can deal with your problem more effectively. Boxes outlined in red are required fields for form to be submitted.

Owner's name: *

Address:

Please include your mailing address

Home Phone:

Mobile Phone:

Product description: *

Email: *

Best time to contact me

hour123456789101112

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am

pm

Quantity purchased:

Did you purchase one or more than one. How many square feet/metres did you purchase?

Product size (one piece):

Please list product dimensions Height x Width x Depth in mm.

Product model number and colour: *

Where was the product purchased?: *

What is the store name and town that the product where the product was purchased.

Date you purchased product:: *

What steps taken to resolve the problem to date?:

Please list any steps that have been taken to fix the problem so far.

Has anyone from the store visited the site?:

yes

no

Contact name at store:

Contractor's name:

If a contractor was used to install the product. Please include their name.

Describe the problem:

Do you have your receipt?:

yes

no