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PRODUCT CLAIM FORM
Start your distributor claim
Name *
Email *
Phone No. *
CUSTOMER DETAILS:
SCANGRIP Customer No. *
Company *
Address line 1 *
Address line 2
Postcode *
City *
Country *
Invoice No. / Delievery note No.
Internal
claim no. (if applicable) *
Purchase Date
CLAIM CONCERNS:
Item no. *
Product name *
Quantity *
Serial / Batch No. *
Find the Serial / Batch No.
Description of error on item *
File upload (pictures of error)
Supported file formats: JPG, PNG, DOC, PDF
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