Giganet Warranty Application

Giganet Warranty Application

Please complete all relevant fields and upload your test results before submitting the form. If you experience any difficulties, please contact warranty@giga-net.co.uk
Authorised Installer Company Details
Installer Company Name*
Installer Company Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Country CodeArea CodePhone Number
Installer Company Email*
example@example.com
Authorised Installer Contact Person Details
Installer Name*

First NameLast Name
Installer Registration Number *
Registration number on GCI Certificate
Email*
example@example.com
Phone Number*

Area CodePhone Number
End-user Information
End-user Company*
End User Company
End-user Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Full Contact Person Name *
Full Name
Job Title*
Job Title
Phone Number*

Area CodePhone Number
Installation Start Date *

DayMonthYear
Date
Installation Completion Date *

DayMonthYear
Date
Exact Project Name to be printed on Certificate *
Name to be Printed on Certificate
Product List (Enter each Giganet part number used in the installation)
Copper
Select type of Cable used: *

CopperFibre
Select Cable Category*

Category 6 UTPCategory 6A U/UTPCategory 6A F/FTPCategory 6A F/UTP
Cable Part Number*

GN-C6-6X4-UTP-PVCGN-C6-6X4-UTP-LSOH
Cable Part Number*

GN-C6A-U/UTP-PVCGN-C6A-U/UTP-LSOHGN-C6A-U/UTP-LDPE
Cable Part Number*

GN-C6A-F/FTP-PVCGN-C6A-F/FTP-LSOHGN-C6A-F/FTP-LDPE
Quantity
Quantity
Quantity
Quantity
Quantity
Cable Part Number*

GN-C6A-F/UTP-PVCGN-C6A-F/UTP-LSOHGN-C6A-F/UTP-LDPE
Keystone Part Number*

GN-C6-KS-180-01
Keystone Part Number*

GN-C6A-UTP-KJ
Keystone Part Number*

GN-C6A-FTP-KJGN-C6A-FTP-KJ-M
Patch Panel Part Number*

GN-C6-PP-24GN-C6-PP-48
Patch Panel Part Number*

GN-C6A-UTP-PP-24GN-C6A-UTP-PP-48GN-C6A-UTP-PP-24-LGN-C6A-UTP-PP-48-L
Patch Panel Part Number*

GN-C6A-FTP-PP-24GN-C6A-FTP-PP-48GN-C6A-FTP-PPA-24GN-C6A-FTP-PP-24-LGN-C6A-FTP-PP-48-L
Patchcords Part Number*

GN-C6-UTP-PC-0.5MGN-C6-UTP-PC-01MGN-C6-UTP-PC-03MGN-C6-UTP-PC-05MGN-C6-UTP-PC-10M
Patchcords Part Number*

GN-C6A-UTP-PVC-PC-0.5MGN-C6A-UTP-PVC-PC-01MGN-C6A-UTP-PVC-PC-03MGN-C6A-UTP-PVC-PC-05MGN-C6A-UTP-PVC-PC-10MGN-C6A-UTP-LSOH-PC-0.5MGN-C6A-UTP-LSOH-PC-01MGN-C6A-UTP-LSOH-PC-03MGN-C6A-UTP-LSOH-PC-05MGN-C6A-UTP-LSOH-PC-10M
Patchcords Part Number*

GN-C6A-FTP-PVC-PC-0.5MGN-C6A-FTP-PVC-PC-01MGN-C6A-FTP-PVC-PC-03MGN-C6A-FTP-PVC-PC-05MGN-C6A-FTP-PVC-PC-10MGN-C6A-FTP-LSOH-PC-0.5MGN-C6A-FTP-LSOH-PC-01MGN-C6A-FTP-LSOH-PC-03MGN-C6A-FTP-LSOH-PC-05MGN-C6A-FTP-LSOH-PC-10M
Patchcords Part Number*

GN-C6A-S/FTP-LSOH-PC-0.5MGN-C6A-S/FTP-LSOH-PC-01MGN-C6A-S/FTP-LSOH-PC-03MGN-C6A-S/FTP-LSOH-PC-05MGN-C6A-S/FTP-LSOH-PC-10M
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I hereby certify that I am authorized to represent the above installer company, and that this installation conforms to the End-user's Specifications and the guidelines set forth in the GIGANET Specifications and further agree to be bound by the provisions of the warranty for this system which I request to be registered by GIGANET.
Full Name

First NameLast Name
Invoice Number
Date

DayMonthYear
Date
Should be Empty:

Giganet Warranty Application

Authorised Installer Company Details

Authorised Installer Contact Person Details

End-user Information

Product List (Enter each Giganet part number used in the installation)

Copper