Clarke International Spares and Service Centre - Collection Request

Important - Claims for Damage in Transit
Please do not use this Collection Form if you are claiming damage in transit by our carrier. You should complete a formal Damage Claim here. Providing your claim is valid, collection will be arranged automatically.

Contact Name		Please enter a contact name
Company
Address		Please enter the collection address.
Town / City		Please enter the town or city.
Postcode		Please enter the postcode.
Telephone No.

Product		Please enter the item(s).
Return Reason		Please select a return reason.
Weight (kgs)		Please enter the total weight.
No. of Pkgs		How many packages?
Reported Fault.		Please tell us the suspected fault.
Despatch or Invoice No.
Date of Purchase

Dealer Name
Dealer Postcode
Contact Name
Telephone No.

Your Reference
Your Email		Your email address is required.
Message
I Agree to Conditions		Please confirm agreement to conditions.

Important - Warranty Returns
If you are requesting collection assistance for a return under warranty then you must provide a valid invoice or despatch reference number and the date of purchase otherwise collection cannot be arranged.