Repair Request Form - Premium Brand Distributors

The fields below are to be completed in full. Our service centre will not commence with repairs/ service requests in the event of equipment showing any signs of damage not stated below. We will be in contact should there be any damage not recorded below.

Drop Off Point

Account Number / ID number*

Repair Reference / VAT number*

Contact Person*

Contact Number*

Collection Address

Email address*

Warranty

(please attach copy of proof of purchase)

Model*

Serial Number*

Colour*

Accessories received (tick where appropriate)

Please do NOT send filters, memory cards, batteries or chargers with unless there is a fault report on any of these items.

In order to assist our technicians with fault finding, please indicate the reason for bringing/ sending your equipment to our service centre. The below is not a comprehensive list of potential issues and you are requested to record the reason for booking your camera in, in the below designated space.

CAMERAS

Other*

LENSES

Other*

ACCESSORIES

Select All
Battery does not charge
Charger is faulty
Speedlights: Flash does not fire
Hot shoe damaged/ centre contacts don’t

LEXAR

Select All
Can’t retrieve data
Device doesn’t read card
Physical damage

BINOCULARS & SCOPES

Select All
Casing is damaged
Doesn’t focus
Eye cup loose/ broken
Prism has shifted
Strap hook is broken
Other

Other

FENIX FLASH LIGHTS

Select All
Doesn’t switch on
Flashlight doesn’t charge
USB port is damaged
Other

Other*

Please provide additional detail regarding your equipment in the space below.

Insurance terms & conditions for repairs

Premium Brand Distributors will insure equipment being couriered to and from the Customer, subject to the following terms and conditions:
1. Only items couriered by Premium Brand Distributor’s preferred service courier provider (RAM) will be insured.
2. Equipment must be packed sufficiently with bubble wrap and in a sturdy container – no claim will be registered in the event of equipment not being packed appropriately.
3. The Customer must clearly indicate his/ her acceptance of the insurance terms and conditions in the space provided. Alternatively, the customer must via e-mail confirm their agreement to the insurance terms and conditions.
4. By accepting the insurance offered by Premium Brand Distributors, the customer agrees that he/ she understands and accepts full liability for the insurance excess rates.
5. All claims will be subject to a 5% excess payment with a minimum value of R2 500.00 per claim.
6. Premium Brand Distributors retains the right and final decision whether equipment shall be repaired or replaced. Customer’s will be replaced at market value in the event of a replacement.

Personal Insurance

My equipment is covered by my personal insurance

Terms and Conditions*

I accept and agree to the terms and conditions of Premium Brand Distributors insurance

Upon submitting the completed repair request form, you acknowledge that you agree to our repair terms and conditions and that you accept the Privacy Statement.