QF Q.03.01UK                     Defective goods / Warranty                        04.01.2011

Dear customer, 
we kindly ask you to complete this form regarding the warranty goods. This will allow us to handle the case as quickly and efficiently as possible.  

Company name:________________________	Date:____________________________

Contact person:________________________	E-mail:__________________________

We kindly request that you do not return any articles to us until you receive our warranty case number.

 	Article no.	Qty.	Serial no./prod. Code	Your ref. 	Error code 	Cause - description	
1							
2							
3							
4							
5							
6							
7							
8							
9							
10							
11							
12							
13							
14							
15							
16							
17							
18							
19							
20							

PLEASE MARK THE ARTICLES WITH THE LISTED NUMBERS. THANK YOU IN ADVANCE.

Error codes 

A – Leak  	         
B – Motor noise
C – Motor bearing
D – Capacitor
E – Burnt off
F – Defective cut out  
G – Cracked               	
H –Failure in chroming   
I – Moulding failure    
J – Corroded
K – Relay	           
L – Transport damaged	
M – Other (describe failure)

Please inform us about the following:

Total weight:		___________ kg	
Total volume:  		___________ m3	
Number of packages:        	___________ packages

Please return this form to us and await our warranty case number before returning the articles. Thank you very much in advance. 

Best regards
HYDROAIR™ International                
A Division of Balboa Water Group