DEFECTS REPORT FOR LP GAS POWERED VEHICLES

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					                  DEFECT REPORT FOR LP GAS POWERED VEHICLES



                      (Please Copy and Paste this form into your Word processor)



Nature of defect:
(Attach copy of correspondence with Installer – see information on the complaints procedure)



Name and address of company who undertook the conversion (or name of OEM if applicable):



Manufacturer/supplier of conversion kit:

Date of conversion:
(Please supply copy of the conversion certificate issued by the installer)

Mileage at conversion:

Mileage now:

Make and Model of vehicle:

Year vehicle first registered:

Registration Number of Vehicle:


Details of person completing this Defect Report:

Name:

Company (if applicable):

Address:

Telephone no:

Date:




              PLEASE COMPLETE AND EMAIL THIS FORM TO autogas@uklpg.org



Ref: Complaint – vehicle defect report – e-mail

				
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posted:9/16/2012
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