Outback Warranty Claim Form
Your Details
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Your BBQ
Model name of BBQ
*
Type of BBQ
*
Please Select
Hooded
Flatbed
Domed
Fuel type
*
Please Select
Gas
Charcoal
Serial Number
*
See below for where you will typically find the serial number.
Year of Manufacture
*
Date of Purchase
*
-
Day
-
Month
Year
Date
Where did you Purchase the BBQ?
*
Nature of the fault
Please explain the nature of the fault
*
Please provide photos or videos of the fault
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