Customer Name *

First Name

Last Name

Purchased from AM Solar

Yes

No

Installation or Purchase Date

MM

DD

YYYY

Failure Date

MM

DD

YYYY

First Contact Date

MM

DD

YYYY

Was a replacement tested prior to shipping?

Yes

No

N/A

Current Location of Product

Customer has it

AM Solar has it

Dealer has it

Manufacturer has it

In Transit

Customer status

Is the customer waiting for a resolution or are they taken care of?

Waiting

Resolved