WA R R A N T Y R E Q U E S T F O R M
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.
2. 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: _____________________________
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2945D - 2965D 3PL SPEEDTILLER
OPERATOR & SAFETY MANUAL
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