Warranty/Return claim form

Howdy! Sorry to hear you’re having some issues. Please read and fill out carefully and hopefully, we can help resolve your issue ASAP.

1. Customer Details
This Warranty/Return Claim Form is to be used to claim on a warranty against defects that may apply to certain products of Ambience Lighting Australia Pty Ltd (“Supplier”). Or if you are returning items that fall in line with Ambience standard terms and conditions.

If there are multiple product types that you are claiming warranty/return on, a separate Warranty/Return Claim Form will need to be filled out for each product type. Once you have completed the form, please submit below (preferred) or alternatively, request a form and post to our office located at 50 Enterprise Drive, Bundoora VIC 3083.
Buyer Name/Company Name*
2. Contact Person
Title*
Name*
Phone*
Email*
3. Address
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
4. Product Information
Product name and code*
Qty*
Invoice Number*
Date purchased*
Claim type*
- Warranty
- Returns
Description of fault and reason for claim*
Reason for return of item*
Installer*
Electrical contractor's licence number*
Date of installation*
Installers contact number*
Additional comments*
5. Upload Documents
Please upload a copy of the following
- Proof of purchase
- Electrical Installation Certificate
Upload Documents*
Drop files here or
Accepted file types: pdf, word, zip.
Please upload a PDF, ZIP or WordDoc
Section Break
This Warranty Claim Form is subject to the warranty conditions and standard terms and conditions of the Supplier. The definitions in the standard terms and conditions apply to this document. Pursuant to the standard terms and conditions and subject to the Buyer’s rights under the Competition and Consumer Act 2010 (Cth), the warranty against defects provided by the Supplier under its standard terms and conditions may be invalidated if, among other things: (1) the Buyer fails to read and follow all instruction manuals and instructions; (2) there is improper use, adjustment or operation of the Goods or Services by the Buyer or any third party not engaged by the Supplier; (3) there is continued use of the Goods after a defect becomes apparent; or (4) there is use of accessories or equipment not authorised by the Supplier in writing. By submitting this Warranty Claim Form, you warrant that you are authorised to submit this form on behalf of the abovenamed Buyer and that the Buyer acknowledges receipt of and accepts the warranty conditions and standard terms and conditions. On receipt of this form a member of our team will aim to be in contact within 5 business days.
T&C's*
- I have read T&Cs and agree with the terms
Name
This field is for validation purposes and should be left unchanged.

Warranty/Return claim form

Howdy! Sorry to hear you’re having some issues. Please read and fill out carefully and hopefully, we can help resolve your issue ASAP.

1. Customer Details

2. Contact Person

3. Address

4. Product Information

5. Upload Documents

Please upload a copy of the following

Section Break