PAPR Return Form Amare Safety Brisbane

PAPR Service / Repair Registration Form

URBAN UTILITIES

Amare Safety – Brisbane

IMPORTANT NOTICE:

Our Service Centre cannot accept any respirator for service or repair unless the following information has been supplied using the form below:

Contact Person's Name(Required)

Phone Number(Required)

Email Address(Required)

Quantity of PAPR Units Being Sent(Required)

Select The PAPR Unit Number(s) Being Returned:

Unit # 1

Unit # 2

Unit # 3

Unit # 4

Unit # 5

Unit # 6

Unit # 7

Unit # 8

Unit # 9

Unit # 10

Unit # 11

Unit # 12

Unit # 13

Unit # 14

Unit # 15

Unit # 16

Unit # 17

Unit # 18

Unit # 19

Unit # 20

Unit # 21

Unit # 22

Unit # 23

Unit # 24

Unit # 25

Unit # 26

Unit # 27

Unit # 28

Unit # 29

Unit # 30

Unit # 31

Unit # 32

Unit # 33

Unit # 34

Unit # 35

Unit # 36

Unit # 37

Unit # 38

Unit # 39

Unit # 40

Unit # 41

Unit # 42

Unit # 43

Unit # 44

Unit # 45

Unit # 46

Unit # 47

Unit # 48

Unit # 49

Unit # 50

Unit # 51

Unit # 52

Unit # 53

Unit # 54

Unit # 55

Unit # 56

Unit # 57

Unit # 58

Unit # 59

Unit # 60

Unit # 61

Unit # 62

Unit # 63

Unit # 64

Unit # 65

Additional PAPR Unit Number(s) if not listed above

Accessories being returned with the respirator: (batteries, chargers, face shields, etc)

Specific reason for return. Please provide as much detail as possible(Required)

Inspection Charge

I understand that an inspection charge is applicable to each respirator that is returned regardless of whether a repair and/or service is carried out. Repair/Service costs will be quoted after inspection is completed.

Shipping Details(Required)

I will ship my PAPR unit(s) to: Amare Service Centre, Unit 32/30 Mudgeeraba Road, Mudgeeraba, QLD, 4213