RAPIDPLAS
19 Macintosh Street, Taminda, 2340
customersupport@rapidplas.com.au
www.rapidplas.com.au
1800 816 299
RAPIDPLAS CLAIMS - CUSTOMER
Claim Information
Claim Type:
*
Warranty Claim
Delivery Claim
Claim Request for:
*
Tank
Other
Serial Number:
*
This can be located on the Manufacture's Badge on the tank
Tank Water Level %
*
Product Code/Description:
*
Issue:
*
Collapsed Roof (tank claims only)
Cracked / Broken
Damaged on Delivery
Faulty
Leaking
Incomplete Order
Incorrectly Supplied
Other
Details of claim:
*
Contact Details
Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Purchase:
*
-
Day
-
Month
Year
Date
Claim Picture:
*
Browse Files
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Choose a file
Cancel
of
Proof of Purchase:
*
Browse Files
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Cancel
of
Submit
Should be Empty: