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CLEARANCE
Dealer Portal
B&W Support Request 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
Please select...
Faulty
DOA
Wrong Item
Wrongly Ordered
Damaged in Transit
Serial No 1 of Product
If a Pair Serial No 2
P1 Which product is Faulty/Damaged
Please select...
Serial No 1
Serial No 2
Both
Reason for Return Comments
Are goods in Original Packaging
Please select...
Yes
No
P1 Request Type
Please select...
RA Request
Repair - Under Warranty
Repair - Non Warranty (Store/customer to pay shipping)
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
Please select...
Faulty
DOA
Wrong Item
Wrongly Ordered
Damaged in Transit
P2 Serial No 1
P2 Serial No 2
P2 Which product is Faulty/Damaged
Please select...
Serial No 1
Serial No 2
Both
P2 Reason for Return Comments
P2 Request Type
Please select...
RA Request
Repair - Under Warranty
Repair - Non Warranty (Store/customer to pay shipping)
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
Please select...
Faulty
DOA
Wrong Item
Wrongly Ordered
Damaged in Transit
P3 Serial No 1
P3 Serial No 2
P3 Which product is Faulty/Damaged
Please select...
Serial No 1
Serial No 2
Both
P3 Reason for Return Comments
P3 Are goods in Original Packaging
Please select...
Yes
No
P3 Request Type
Please select...
RA Request
Repair - Under Warranty
Repair - Non Warranty (Store/customer to pay shipping)
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
Please select...
ACT
NSW
QLD
SA
NT
TAS
VIC
WA
Which days Can we Pick Up from you
Pick Up Instructions