Please fill in and print this page and enclose it with your appliance
| YOUR DETAILS | |
| Name: | |
| Address: | |
| Postcode: | |
| Email: | |
| Telephone: | |
| APPLIANCE DETAILS | |
| Manufacturer: | |
| Model/Type Number: | |
| Appliance (eg ‘Shaver’): | |
| Fault: | |
| Cheque enclosed (tick): | |
| Amount: |
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Please attach this label to your parcel
Billington’s Electrical |