Return Authorisation Request All fields are required. Your Details First Name Last Name Email Telephone Street Address Suburb/City Postcode Product Information Product Code and/or Product Name Date of Purchase (DD/MM/YYYY) Purchased From Invoice No. Brief Fault Description Photos of Fault (if available) Proof of Purchase Note: if you no longer have your proof of purchase, please contact us by phone to discuss your situation. Declaration I declare that the information I have included in this warranty claim is true and correct to the best of my knowledge. I confirm that I am the original purchaser of the goods. Electronic Signature (type your name)