Fault Reporting

Company Name:(required)

Your name:(required)

Your email:(required)

Please give a brief description of the fault:(required)

Please give a detailed description of the lamp including brand:(required)

What is the lamp wattage?:(required)

Please advise the Batch Number of the product. :

Please advise the DAR invoice number:(required)

Please advise the date of invoice: (required)

Please advise the installation date: (required)

What is the installation address:

Is the product being used in conjunction with a dimmer or on a lighting control system? If yes please state type.:

What is the nature of the installation?:(required)

To confirm you are a human, please leave the next field empty