Duron vineyard wire - guarantee form

Contact information

Name

Name must be filled in.

Village

Village must be filled in.

Taluka

Taluka must be filled in.

District

Mobile phone

Mobile phone must be filled in.

Email must be filled in.

Quantity of wire purchased (kg or coils)

Quantity of wire purchased (kg or coils) must be filled in.

System setup

Star

Pro

Sizes of wire purchase

10 Gauge - 3.20 mm

11 Gauge - 2.80 mm

12 Gauge - 2.50 mm

13 Gauge - 2.20 mm

14 Gauge - 2.00 mm

15 Gauge - 1.80 mm

16 Gauge - 1.60mm

This is required Field

Name of installer

Contact number

Invoice Value (Rs)

Invoice Value (Rs) must be filled in.

Invoice No

Invoice No must be filled in.

Invoice Date

Invoice Date must be filled in

Dealer name

Dealer name must be filled in.

Date of installation of wire in field

Date of installation of wire in field must be filled in

Invoice copy attachment

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Size: less than 50MB

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