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    Your Details

    Business Name (if applicable):
    Name:
    Email:
    Tel number:

    Proof of purchase(VAT invoice):

    Date of Installation:
    Product Description:

    Vehicle details

    Vehicle Make:
    Vehicle Model:
    Registration:
    Vin number:
    Name of qualified installer:

    Copy of maintenance records:

    records i.e filter changes etc, valves cleaned and greased at the recommended intervals

    Reason for claim with detailed description:

    Photos in jpeg form and videos in MP4 form of the problem attached: