Illawarra Blinds and Awnings Warranty Claim Form

Warranty Providers Name: Illawarra Blinds and Awnings - ABN: 66 003 379 360

Warranty Providers Address: 673 Forest Road, Bexley NSW 2207

Date of products purchase*

Invoice No*

Customer Name*

Contact No*

Address*

Email Address

Description of Goods/Services provided*

Description of defects (Give as much detail as possible. Use a separate page if required)*

I hereby declare that the information provided above is true and correct and to the best of my knowledge and belief and I have complied with all the conditions of the warranty.
YES

Name:*

Date:*