Warranty Claim

Warranty Claim Form

Page 1 of 3

Personal Details

Surname*

Title

First Name*

Your Email*

Tel*

Postal Code*

Address*

Switched Product Details

**IMPORTANT NOTICE**

The below registration is for the appliances connected to our Volkano products and not the product itself. E.g. TV connected to a Volkano Product (The claim would be for the TV)Name of Appliance: Hisense TV | Serial Number of TV: 745825HGT | Approx Rand Value of TV: 4600

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Consent

I consent to the processing of my personal information in accordance with the Popi Act

I consent to be bound by the Privacy Policy

This field should be left blank

Warranty Claim Form

Page 1 of 3

Personal Details

Surname*

Title

First Name*

Your Email*

Tel*

Postal Code*

Address*

Switched Product Details

**IMPORTANT NOTICE**

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:*

Serial number of Appliance:*

(Optional)

Approximate Rand Value:*

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Name of Appliance:

Serial number of Appliance:

(Optional)

Approximate Rand Value:

(Optional)

Consent

I consent to the processing of my personal information in accordance with the Popi Act

I consent to be bound by the Privacy Policy

This field should be left blank

Warranty Claim Form

Personal Details

Switched Product Details

Consent

Warranty Claim Form

Personal Details

Switched Product Details

Consent

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