Vencha Warranty Claim Form

Vencha Warranty Claim Form

Please fill out the form and upload the required documents to proceed with your warranty claim.
Full Name*

First NameLast Name
Address of Installation*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Purchase*

MonthDayYear
Date
Store Purchased*
Upload Copy of Invoice:*

Invoice required for Proof of Purchase.
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Product Details
Product Name or Model*
Vencha product name, or item code.
Qty of Product*
Description of Fault / Damage*
YesNo
Height of Ceiling*
Upload any Photos/Videos

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YesNo
Product Name or Model
Qty of Product
Description of Fault / Damage
Installer Details
Full Name*

First NameLast Name
Electrical Contractors Contact Number:
Electrical Contractors License Number:
Upload Electrical Invoice: (Proof of Installation)*

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Please verify that you are human*
Should be Empty:

Product Details