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Shark Pressure Washers Warranty Claim

Warranty Reimbursement Claim Form - Step 1
Instructions: Please follow carefully
Fill in the form below as correctly as possible. When finished, click the 'Next' button at the bottom
PLEASE DO NOT PRINT AND USE THIS PAGE
Fields with an * are required to continue.
 
Customer Information
Customer:
Attention:
Address:
City State Zip
   2-digit abbrev.
Phone:
Purchase Date:
Invoice #:
Model #:
Service Center Information
Service Center: *  
Address: *
 
   
City * 
 		 State *
 2-digit abbrev.		 Zip *
Phone: *  
Fax: *  
Service Manager:
Serial #: *  
Repair Date: *  
Account #: *    
Job Information
Description of failure:
 
Part # Def. Code Description Qty Part Cost
$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 
$ 
Labor hours: @ $60/hour
Freight: $ 
To proceed to the next step, click the 'Next' button below. To clear this form and start over click the 'Clear Form' button.
 
 
For a service center
in your area
please call
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