Warranty Request
Fields with a * are mandatory.
Date of the noticed issue
*
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Company name
*
Name main point of contact
*
Address
*
Phone
*
E-mail
*
Pump model
*
Pump serial / identification number
*
Current running hours on the pump
*
Engine serial number
*
Control panel model number
*
First commissioning date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Warranty request date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Description of the issue
*
Description of the issue that should be as detailed as possible. The more information the better. Also include: codes that are displayed on the control panel, and any additional information that may be pertinent to the issue should be included in the warranty investigation form.
Upload pictures
*
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The following must be included: picture of the pump serial plate (located between the two doors on the control panel side of the pump). Pictures of the current hours displayed on the control panel. Pictures of the referenced issue.
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of
Signature
*
I hereby declare that I have completed the form above truthfully and agree to the terms and conditions.
Please verify that you are human
*
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