Austina Warranty Claim Form

First Name *

Last Name *

Phone *

Email *

Address *

City *

State *

Postal code *

Purchase Date *

Type of Product Purchased *

Type of Product Purchased

Lounge Suite
Mattress
Bedroom Furniture
Dining Furniture
Barstools
Commercial Furniture
Other
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Bought Where? *

Bought Where?

Bibra Lake
Bunbury
Online
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List is empty.

Invoice Number *

How was your order Delivered? *

How was your order Delivered?

Warehouse Direct Delivered it
We collected the order
A trucking company delivered it
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List is empty.

What was the name of the range purchased?

Can you give us a description of the problems you are facing? *

Please upload the image of product problem...

upload upto 5 images.