Repair Feedback Form
Chair Repair Request Form
EWP Product Repair Form

Product Repair Feedback Form

Date Of Claim:

Repair No.

Warranty

Yes No

Date Of Manufacture

TSS Job No

Your Repair No:

TSS Invoice NO:

Chair Model / Product / Code

Description Of Goods

Dealer Detail:

Name:

Address

Phone

Mobile

Client Detail:

*Name:

Address

Phone

Mobile

*Email

Issue / Feedback / Request:

Location of Chair / Product for repair:

TSS / Onsite / Other:

Goods to Be Returned to:

Rep / Store / Client

* Required Fields

Download Form

Chair Repair Request Form

*CR No.

Date Of Repair

Non-Conformance Report Required ?

YesNo

NCR No.

Full Company Name

Full Address of Repair Location:

Distributor Name

Contact Name

Contact Name At Location:

Phone Number

Requested By

Phone Number

Secondary Contact At Location:

Phone Number

Authorised By

Postal Address

*Your Email

SERVICE REQUIRED:

On Site Service $55 +GST (Non-Warranty)

Part only required

Client to return chair to Gregory

Service Cash Sale

APPROVAL TO REPAIR:

Chair Code

Order Number

No of Chairs

Month/Year of Manufacture

Fabric/Colour

Has this Chair previously been Repaired?

YesNo

Description of Problem

* Required Fields

Download Form

Products Repair Form

Product Repair Feedback Form

Dealer Detail:

Client Detail:

Chair Repair Request Form

Product Repair Request Form

Faulty Product: (Where possible, please provide the following information)

OFFICE USE ONLY: