2830 2840TAT TrackAttack 3-4M Operator Safety Manual

WARRANTY REQUEST FORM

RESELLER: _______________________CLIENT: ______________________ ADDRESS: _______________________ _____________________________ PHONE: ______________________________________________________ MACHINE MAKE & TYPE: ____________________________________________ SERIAL NO: ______________________ CUSTOMER ORDER NO: _______ INVOICE NO: _____________________ DATE OF INVOICE: ___________ FULL DESCRIPTION: ________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ CAUSE: ____________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ DATE OF FAILURE: _______________ HOURS WORKED: _____________ DATE OF REPAIR: ________________ HECTARES WORKED: __________ I AGREE: 1. That in accordance with the warranty given by K-LINE AGRICULTURE, I have taken every reasonable precaution as is commonly expected in this industry in the operation of the machine.

• This claim is not due to negligence, lack of maintenance, routine wear & tear or accidental damage & no unauthorized alteration has been made to this machine.

OPERATOR: SIGNATURE ________________________________

DATE: _____________________

OWNER: SIGNATURE

_________________________________

DATE: _____________________

OFFICE USE ONLY: ACCEPTED: YES/NO

DENIED:

YES/NO

DATE: ___________________________________ GOODS REPAIRED/ REPLACED/ REFUNDED FOR

DATE: _____________________________ REASON FOR DENIAL: _______________

CREDIT? (CIRCLE)

___________________________________

REFUND OR REIMBURSEMENT REQUIRED? _ CHQ NO/ ADJUSTMENT NOTE NO: ___________ SHIPPING DETAILS: _______________________ APPROVED BY: ___________________________

__________________________________

CHANGE REQUIRED? (CIRCLE)

DESIGN

WORK METHOD

ACTION TAKEN: ___________________________ SUPPLIED PRODUCT __________________________________________ REFER TO SUPPLIER CLIENT SATISFIED YES/NO RECALL REQUIRED

FILE CLOSED BY: _________________________

DATE: _____________________________

2800 Track At tack ®

Operator & Safet y Manua l

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