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WRA Submission Form

Date Submitted:Distributor:
Contact Fax Number:Contact Name:
Equipment Model:Email:
Original Date of Sale:Serial Number:
Date of Claim:Hours on meter:
Customer Name:Customer Invoice #:
 PART #QTYDESCRIPTIONSERIAL # or NAREASON FOR RETURN
1
2
3
4
5
6
7Labour90 Day Labour @ $50.00/hr
Remarks for the team regarding this WRA



OFFICE USE ONLY
W.R.A. Number: ___________

Date Received:   Received by:
Location of Material:   Examination Report:
Warranty:Yes No    Issue Credit:Yes No
Item: #1 #2 #3 #4 #5 #6 #7
Date:   Invoice Number:
Repair and Return
Date:   Invoice Number:
Item: #1 #2 #3 #4 #5 #6 #7
Warranty Denial Notification
Date:  
Item: #1 #2 #3 #4 #5 #6 #7
90 Day Labour CreditYes No    Approved Hours @ $50.00
Warranty Inventory:Yes No $50 Deductable Charge
 
Original Vendor RMA# for return:
 
Name:   Company Name:
Account #:   Date of purchase:

Esteam Remarks:

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Contact Us


Lou Querin - Sales Manager
Email: lquerin@cleanco.com
Phone: 1-800-653-8338 x 2450


Miranda Himmelman - Sales/Marketing
Email: miranda@cleanco.com
Phone: 1-800-653-8338 x 2452


Technical Service Support
Phone: 1-800-653-8338 x 2445


Toll Free: 1-800-653-8338
Local: (403) 291-7050
Fax: (403) 291-0546

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Esteam Cleaning Systems & Cleanco Truckmounts

Commercial Equipment
316

Manufacturer of direct drive (PTO) truckmount equipment, portable carpet extractors and cleaning solutions for professional cleaners and restorers

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