Repair Request Form

All warranty claims must attach proof of purchase to claim warranty repair. This submission form is for Sewerin and Rycom products only.

Please deliver repairs to:

PJL Electronics
11B The Leermont Centre
3-9 Kenneth Road
Manly Vale, NSW 2093

Company Name *

Authorised Purchase Officer *

Your Email Address

Phone Number *

Mobile

Fax Number

Quote Required? *

*Note: A min. charge of 1 hours labour is payable on all repairs including estimates that are rejected. All repairs with an estimated cost below $750 will automatically proceed unless Quote Required is 'Yes'.

Equipment Operator

Phone Number

Equipment Make/Model

Serial Number

Work Required / Fault Description

Replace Batteries

*Note: Included in standard service.

Field Specification Test Required

Delivery Street Address

Delivery City

Delivery State

Postcode

Payment via *

Purchase Order Upload

Upload your official Purchase Order here. You can upload PDF, RTF, DOC, DOCX, XLS, XLSX, JPG, GIF and PNG files.

Proof of Purchase for Warranty Claims

Upload a scan or other document for Warranty Claims. Note that Warranty Claims must have Proof of Purchase Attached. Same files as above are accepted.

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