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Warranty Claim Form

Warranty Claim Form - Rev 01

"*" indicates required fields

Submitter Information.

Submitter Name*
Failed Parts Returned to Trimax*
Parts Information
Quantity (Number Only)
Part Number
Description
Price (EA)
 
Eg. Qty: 12 | Part Number: 504-000-133 | Description: Spindle | Price (EA): 850.76