Turbine Request Work Order

XZERES Corporation Turbine Request Form

Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Product Information

System Serial Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Enter the Serial number of the System

System Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Enter a Name for the Turbine in case you have multiple turbines.

Wind Turbine Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

System Site Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Tower Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Tower Height {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Commissioning Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

When was your Turbine installed.

XZERES Gateway ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Dealer Information

Dealer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Dealer EMail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Dealer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Dealer Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Dealer Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Owner Information

Owner Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Owner/Contact Name

Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

(If owned by Company)

Owner Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Owner EMail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Owner Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Turbine Request Information

Claim Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Upload Pictures/Videos {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Attach any files that might be important for your Warranty claim.

Turbine Request Work Order

Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Product Information

System Serial Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

System Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Wind Turbine Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

System Site Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Tower Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Tower Height {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Commissioning Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

XZERES Gateway ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer Information

Dealer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer EMail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner Information

Owner Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner EMail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Turbine Request Information

Claim Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Upload Pictures/Videos {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}

Turbine Request Work Order

XZERES Corporation Turbine Request Form

Today's Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Product Information

System Serial Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

System Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Wind Turbine Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

System Site Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Tower Type {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Tower Height {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Commissioning Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

XZERES Gateway ID Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer Information

Dealer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer EMail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer Contact {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Dealer Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner Information

Owner Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Company {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner EMail {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Owner Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Turbine Request Information

Claim Description {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Upload Pictures/Videos {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding Name, mode=oneTime}

{binding Description}