Premium Care products offer a 7-YEAR Product Protection & Service Plan Customer Details First Name * Last Name * Street Address * Suburb * City * Mobile * Landline Email Address * Product Details Store and Branch of Purchase * Product Type * - Select -FabricLeatherSynthetic Invoice Number * Product Purchase Date * Day12345678910111213141516171819202122232425262728293031 Day MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Year20162017201820192020202120222023202420252026 Year Copy of Invoice Add a new file Upload More informationFiles must be less than 100 MB. Allowed file types: gif jpg jpeg png txt pdf doc docx. Tick this box if previously supplied Tick this box if previously supplied Service Request Details Reason for Service Request Cut Other Scratch Scuff Stain Have you had your suite professionally cleaned? - None -NoYes If so, by whom & when? What date did the incident occur? * What part of the furniture is stained or damaged? * Please explain in detail the incident that caused the stain or damage * If this is a stain, what was used to clean it? * What is remaining now? * Photo Please upload a close-up photo, panel photo and a full view photo and circle where the stain/damage is. Add a new file Upload More informationFiles must be less than 100 MB. Allowed file types: gif jpg jpeg png pdf. Submit
