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product catalogue 2005-06 - Offquattro

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Warranty Assessment FormPLEASE NOTE THAT ALL DETAILS MUST BE SUPPLIED OR CLAIM WILL NOT BE CONSIDERED.This form is only for the use with one shock absorber / one leaf spring / one coil spring / suspension bushesTel: (+61) 8 9378 2133 • Fax: (+61) 8 9378 2839 • PO Box 398 Bassendean, Perth WA Australia 6934Date:Distributor / Reseller DetailsCompanyContact NameTelephoneFacsimileAddressSuburb / Town Postcode StateWarranty DetailsPart NumberBatch CodeVehicle Model YearFitted / Sold Date Failure Date KMs since fittedInstalled byInvoice No Invoice date Installation Form NoAccessories fitted to Vehicle e.g. Bullbar, winch, etc.Vehicle Owner DetailsNameAddressSuburb / Town Postcode StateReason for goods being returned Please tick the appropriate defectNoise Oil Leak Control Broken/Worn Broken Coil/LeafRattle Seal-Top Stiff/Hard Top Mount Broken CoilKnock/Thump Top Seam Weld Seized Bottom Mount Broken Leaf - Main WrapSwish Bottom Seam Weld Binding Top Rubber Worn Fold OverSqueak Arc Weld Weak Bottom Rubber Worn Bolt ClipSplit Tube No Gas Pressure Loose ShroudVehicle Heights Heights must be taken on a flat level surface.Leaf Springs—Measure from top of spring to underside of chassis. Coil Springs—Measure the height of the coil in the vehicle.Please mark the location of the defective part/s on the drawing below with an “X” and mark parts with location.BeforeAfterOffice Use OnlyDate rec’d Rec’d by Claim Accepted / Denied Approval No.Comments

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