Return Authorisation (RA) Form

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Contact Name*
Address*

Purchased from:*
Distributor/Importer
Reseller/Wholesalers
Retailer
Other
 
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Power Level/s (select applicable)*
Was a Location Design Assessment Completed*

Project Environment: Select all applicable*

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Installation Location If Not the Same as Above
Shading between dawn and dusk?*
Select Approx. Level of shading
Drop files here or
Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
    Stored for more than 6 months prior to install?*
    How long has the solar light been operational since installation*

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