3monkeez Product Return Request

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Date

Claim Number

Company Name

Contact Name

Telephone

Email Address

Street

City/Suburb

State

Postcode

Customer PO Number

Date of Purchase

Serial Number (if applicable)

Required for Tapware, Cisterns, Urinettes & Closed Coupled Pans

Reason for Return (select from the list below)

3monkeez Part Code Returning

Brief description of the fault with product.