Get Your Paint Warranty Certificate

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Please fill in your details

Name*

Painting Completion Date*

Mobile No.*

Email ID*

City*

Address*

Pin Code*

Site Address*

Product 1

Product*

Shade Code

Paint Quantity (Lts.)*

Purchase Date*

Invoice No.*

Primer*

Not Applicable

Product 2 Remove

Product*

Shade Code

Paint Quantity (Lts.)*

Purchase Date*

Invoice No.*

Primer*

Not Applicable

Product 3 Remove

Product*

Shade Code

Paint Quantity (Lts.)*

Purchase Date*

Invoice No.*

Primer*

Not Applicable

Product 4 Remove

Product*

Shade Code

Paint Quantity (Lts.)*

Purchase Date*

Invoice No.*

Primer*

Not Applicable

Product 5 Remove

Product*

Shade Code

Paint Quantity (Lts.)*

Purchase Date*

Invoice No.*

Primer*

Not Applicable

Product 6 Remove

Product*

Shade Code

Paint Quantity (Lts.)*

Purchase Date*

Invoice No.*

Primer*

Not Applicable

Product 7 Remove

Product*

Shade Code

Paint Quantity (Lts.)*

Purchase Date*

Invoice No.*

Primer*

Not Applicable

Product 8 Remove

Product*

Shade Code

Paint Quantity (Lts.)*

Purchase Date*

Invoice No.*

Primer*

Not Applicable

+ Add new product

(Warranty is to be given on a minimum purchase of 60 litres of the product)

Back

Dealer Details

Name*

Phone No.*

Contractor Details

Name

Phone No.

Yes, I agree to the terms and conditions.

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