| ** Company |
|
| ** Contact First
Name |
|
| ** Contact Last
Name |
|
| ** Address Line 1 |
|
| Address Line 2 |
|
| Address Line 3 |
|
| Address Line 4 |
|
| ** Postcode |
|
| ** Telephone |
|
| ** Fax |
|
| ** Email |
|
| Your Reference |
|
| ** Product / Item |
|
| ** Quantity |
|
| **
Taran Serial Number |
(5 digit number on orange sticker) |
** Taran Salesperson
/ Account Manager |
|
| ** Invoice Number |
|
| ** Purchase Invoice Date |
|
| ** Reason For
Return |
|
| ** Request Is For |
Repair / Replacement Credit |
|