PARTS OF CANADA RETURN FORM

PART RETURN /EXCHANGE FORM

*required information
Full Name *

First NameLast Name
Phone Number*

Area CodePhone Number
Purchase Date

MonthDayYear
Appliance Model Number*
Please type complete model number of your appliance, including version number if applicable.
Order number*
Please type a complete order number including symbols.
Delivery Date

MonthDayYear
Subject*
Type subject
Describe your Issue.*
Please make sure to include all possible details.
Initial issue with appliance. *
Describe initial issue with the appliance
Who made installation of the product.*
Name of the repair company or N/A for self installation
Appliance type.*
What type is your appliance
Place of Residence Where The Product Was Installed.*

Street Address

Street Address Line 2

CityState/Province

Postal/Zip CodeCountry
Where the product purchased from?*
Please type store or website name.
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PART RETURN /EXCHANGE FORM