Battery Warranty Claim Form Contact DetailsName(Required) First Last Email(Required) Contact Number(Required)Address(Required)City / Suburb(Required)State(Required)Postcode(Required)Details Of PurchaseBattery Model Number(Required)Battery Serial Number(Required)Place of Purchase(Required)Date of Purchase(Required) DD slash MM slash YYYY Place of Purchase Address(Required)City / Suburb(Required)State(Required)Postcode(Required)Caravan Battery Application (if applicable)Battery LocationItems Running Off BatteryCaravan ManufacturerAverage Appliance RuntimeInverter Details (if applicable)Inverter BrandInverter ModelMax Current (Watts)In-rush Current (Watts)Charger DetailsCharger Brand(Required)Charger Model(Required)Charger TypeAre you using multiple chargers? Yes No Is your lithium profile selected? Yes No Application DetailsIs 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 LocationWill the battery be moved to another application in the future? Yes No Proof of Purchase(Required) Drop files here or Select files Max. file size: 10 MB. Battery Test Results(Required) Drop files here or Select files Max. file size: 10 MB. Reason for FailureForm Completed Truthfully, Honestly and to the Best of my Knowledge Acknowledgement(Required) I acknowledge that I have completed this form truthfully, honestly and to the best of my knowledge. CAPTCHANewsletter Checkbox I agree to receive email marketing communications from BMPRO.
