Product defect notice
Product defect notice form
Date:_______________________________
To:_________________________________
Dear________________________________
Notice is hereby provided that we have purchased a product manufactured, distributed
or sold by you and described as:
You are advised of a product defect or warranty claim. In support of same we provide
the following information:
1. Date of Purchase:
2. Nature of Defect:
3. Injuries or Damage:
4. Item Purchased From:
This is provided to give you earliest notice of said claim. I request that you or your
representative contact me as soon as possible.
Very truly,
_______________________________________
Name
_______________________________________
Address
_______________________________________
City, State, Zip
_______________________________________
Telephone Number
CERTIFIED MAIL, Return Receipt Requested |
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