Collection Request

Claims Of Damage MUST be made in WRITING within SEVEN days of appliance delivery date

Collection will only be made from the original address stated at time of order or your default delivery address

Please refer to our Returns Policy before completing this form

Please complete this form in full

Your Details

Customer Name:

Customer Address Line 1:

Customer Address Line 2:

Customer Address Line 3:

Town:

County:

Post Code:

Telephone Number:

Email Address:

Account Number (If Known):

Collection Details

Collection Address Line 1:

Collection Address Line 2:

Collection Address Line 3:

Collection Town:

Collection County:

Collection Post Code:

Manufacturers Name:

Appliance Model Number:

Swift Order No. or Invoice No.

Original Delivery Date:

Reason For Request:

ReplacementDetails (If Required):

Manufacturers Uplift Code:

Appliance Serial Number:

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