bwsupport_form

Dealer Details

Dealer Name

Dealer Contact Name

B&W Account Number

Invoice Number

Contact Email Address

Phone No.

Dealer Claim No/Ref

Please upload a copy of your Invoice/Customer Receipts

Product 1 Details

Product Code (eg. FP00000)

Product Description

Reason for Return

Serial No 1 of Product

If a Pair Serial No 2

P1 Which product is Faulty/Damaged

Reason for Return Comments

Are goods in Original Packaging

P1 Request Type

P1 Customer Date of Purchase

P1 Customer Date of Return

Serial No Location

Serial Number can be located as indicated it is only a 7 digit number

To add additional Products to the request please click Next Page below. If you have no further products click (NEXT PAGE) until you reach the Pick Up Details - NOTE a new submission is needed per invoice number.

Product 2 Details

P2 Product Code

P2 Product Description

P2 Reason for Return

P2 Serial No 1

P2 Serial No 2

P2 Which product is Faulty/Damaged

P2 Reason for Return Comments

P2 Request Type

P2 Customer Date of Purchase

P2 Customer Date of Return

To add additional Products to the request please click Next Page below. If you have no further products click (NEXT PAGE) until you reach the Pick Up Details - NOTE a new submission is needed per invoice number.

Product 3 Details

P3 Product Code

P3 Product Description

P3 Reason for Return

P3 Serial No 1

P3 Serial No 2

P3 Which product is Faulty/Damaged

P3 Reason for Return Comments

P3 Are goods in Original Packaging

P3 Request Type

P3 Customer Date of Purchase

P3 Customer Date of Return

To add additional Products to the request please click Next Page below. If you have no further products click (NEXT PAGE) until you reach the Pick Up Details - NOTE a new submission is needed per invoice number.

Return and Pick Up Details

Weights & Dimensions of Parcels/Pallets

Package/Pallet 1 Weight KG's

Dimensions H/W/D (cm's)

Package/Pallet 2 Weight KG's

Dimensions H/W/D (cm's)

Package/Pallet 3 Weight KG's

Dimensions H/W/D (cm's)

Package/Pallet 4 Weight KG's

Dimensions H/W/D (cm's)

Package/Pallet 5 Weight KG's

Dimensions H/W/D (cm's)

Package/Pallet 6 Weight KG's

Dimensions H/W/D (cm's)

Pick up details

Pick Up Address Line 1

Address Line 2

Suburb/City

Post Code

State

Which days Can we Pick Up from you

Pick Up Instructions

B&W Support Request Form

Dealer Details

Product 1 Details

Product 2 Details

Product 3 Details

Return and Pick Up Details