Warranty Registration

PRODUCT INFORMATION

Please note: Warranty only valid for products purchased from ACDC Dynamic Branches & Express Stores.

* indicates that the field is required to register
Date of Purchase*

MonthDayYear
Store Purchased From*
Invoice Number*
Item Code*
Quantity*
Serial Number*
Installer Name
Upload your Invoice*

The document(s) must contain the following detail: Company Name & Location of Purchase | Date of Purchase | Name | Location & Phone Number of Installer | Date of installation
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PERSONAL INFORMATION

Please supply ACDC with all the relevant fields listed below
Name & Surname*
Contact Number
Email*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MORE INFORMATION REGARDING YOUR INSTALLATION

Please supply ACDC with the relevant fields below.
Name of Contractor
PV Green Card Number
Contractor
COC Number
Contractor
Email / Cell
Contractor
Photos of Installation

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I have familiarised myself with the Terms and Conditions of purchase as appears at the back of my invoice*

Yes
Signature

Clear
Would you like to recieve Newsletters & Marketing Information from ACDC Dynamics*

YesNo
Rate Installation / Service Delivery
Would you like to tell us more about your Installation

Yes
CLAIM INFORMATION

Please supply ACDC with a brief description below.
CLAIM DESCRIPTION
Should be Empty:

PRODUCT INFORMATION