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1
Please return this form to the Quality Department at Munster Simms Engineering Limited.
2
Where applicable, replacement goods will be sent to the form initiator as listed below.
Initiator details
Name, Initial(s)
Address
Telephone/Mobile
Fax
e-mail
1
Date of Claim
(dd/mm/yy)
2
End user details
Name, Initial(s)
Address
3
Installation type
Domestic
Marine
RV
Make & model
4
Year of model
5
Product
(incl. part no.)
6
Date of purchase
(dd/mm/yy)
7
Quality assurance no.
(on silver sticker)
8
Description of fault
("faulty" is not a
description)
9
Distributor's action
10
Details of action taken
by retailer or Whale
11
Repair kit issued
Product issued
Labour cost
12
For Whale use only
Complaint no.
(1)
Marine and RV only.
(2)
Delete as appropriate.
This data is confidential to Brunswick
Munster Simms Engineering Ltd., 2 Enterprise Road, Bangor, Co Down, BT19 7TA, U.K. – Northern Ireland
tel.: +44 (0)2891 270 531
CLAIM 1
(1)
(2)
sold/foc
Heat Air Room Heater
fax.: +44 (0)2891 466 421
info@whalepumps.com
CLAIM 2
(2)
sold/foc
www.whalepumps.com
CLAIM 3
(2)
sold/foc
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