Battery Warranty Claim Form Details Of Purchase First Name Last Name Email Contact Number Address State Address Postcode Battery Model Number Battery Serial Number: (silver sticker on the side of battery) Date of Purchase Place of Purchase (ie: Retailer) Location of Purchase (ie Suburb) Caravan Battery Application (if applicable) Battery mounted on van Items running off Battery Caravan Manufacturer Appliance average run time Inverter Details (if applicable) Inverter Brand Inverter Model Max Current (watts) In-rush Current (watts) Charger Details Charger Brand Charger Model Charger Type (DC-DC, AC, Solar etc) Will you be using multiple chargers Yes No Lithium Profile Selected Yes No Application Details Is the battery in an under-bonnet application? Yes No Is the battery in a starting or cranking application Yes No Is the battery exposed to extreme temperatures Yes No Current Application Location (eg. 4WD, boat, caravan,) Will the battery be moved to another application at any time Yes No I acknowledge that I have completed this form truthfully, honestly and to the best of my knowledge I wish to receive communications from BMPRO regarding news and products. Proof of Purchase Battery Test Results Reason For Failure Submit