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Amtek Warranty Request Form - WA
Please complete the below form to request Warranty Repairs for your Vehicle(s).
Please note - this Form is for WA Customers Only
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* Indicates required question
Email
*
Your email
Contact Name
*
Your answer
Contact Number
*
Your answer
Company Name
*
Your answer
Site Address
*
Please provide the address the Vehicle is kept
Your answer
Vehicle Details
Vehicle Make & Model
*
Your answer
VIN
Your answer
Vehicle Registration
*
Your answer
Current Odometer Reading
Your answer
Original Job Details
Amtek Invoice Number if known
Your answer
Amtek Quote Number if known
Your answer
Amtek Sales Person if known
Your answer
When did Amtek provide works on this Vehicle?
Your answer
Fault & Rectification Details
Please describe the fault with your Vehicle and/or Modification
*
Your answer
How would you prefer this fault to be rectified?
Replacement of Part(s)
Repair of Part(s)
Change of Modification / Re-engineering
Other:
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