Select New Electrolux Washers shown below — purchased between
January 1, 2016 and December 31, 2016 from participating authorized
Electrolux retailers — are eligible for this money back guarantee.
Official Claim Procedure For Dealer
The 2nd Floor Vibration Guarantee applies only to the Electrolux brand washer models
specified herein sold by Electrolux Major Appliances North America’s authorized Electrolux
brand dealers. Limit one claim per household for not more than two appliances purchased
in the same transaction. Guarantee is not transferable. Guarantee is subject to further
restrictions as set forth in the 2nd Floor Vibration Guarantee Claim Form.
Please use the following procedure whenever you sell the specified products
that are eligible for the 2nd Floor Vibration Guarantee.
1. At the time of sale, dealer provides 2nd Floor Vibration Guarantee Claim Form
and complete program information.
• Download claim form from www.electroluxappliances.com
2. The 2nd Floor Vibration Guarantee is null and void unless installation is completed
by Dealer’s authorized installer and must be level, front to back and side to side.
3. If customer is unsatisfied and determines that the product is unsuitable, customer
should notify the dealer to invoke guarantee within 30 days of purchase.
• Customer should present the original purchase receipt to dealer from whom the
appliances were purchased.
4. At time customer invokes 2nd Floor Guarantee, Dealer must
• Make arrangements to refund the customer the purchase price of the eligible
appliance(s) plus any sales tax. Refund excludes shipping, installation, delivery,
finance or haul-away changes associated with the original purchase as well
as with the return of eligible Electrolux model.
• Have the customer complete the Dealer Claim Form (including obtaining
purchaser’s signature thereon).
• Arrange for the physical return of the eligible appliance(s) within 30 days of refund.
QUALIFYING
ELECTROLUX
MODELS
EFLS617STT
EFLS617SIW
EFLS517STT
EFLS517SIW
EFLW417SIW
EWFLS70JSS
EWFLS70JIW
EIFLS60LT
EIFLS60JIW
EIFLS55IIW
EIFLW50LIW
EIFLS20QSW
5. Once dealer has obtained returned appliance, Dealer completes the Dealer Claim
Form, notifies the District Manager and sends the following to Electrolux within
45 days
• Original sales receipt
of customer refund.
• Sales receipt showing refund
• Completed Dealer Claim Form
• Completed Claim Form from customer
• Serial Tag from unit
• Mail the above to:
Electrolux Second Floor Guarantee, PO Box 621030, Charlotte, NC 28262
6. Upon receipt of above listed documentation from Dealer, Electrolux will issue
a scrap authorization code to Dealer and credit Dealer equal to Dealer’s customer’s
purchase price plus sales tax as reflected on Dealer’s original sales receipt. Dealer
must remove serial tag on the returned unit according to Electrolux Major Appliances
Damage Claim Policy for scrap units.
7. Dealer must make arrangements to provide refund to customer upon receipt
of all customers completed 2nd Floor Vibration Guarantee Claim Forms.
If you have questions regarding these claim procedures,
please contact your Electrolux District Manager.
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Select New Electrolux Washers shown below — purchased between
January 1, 2016 and December 31, 2016 from participating authorized
Electrolux retailers — are eligible for this money back guarantee.
Dealer Claim Form
Instructions To Dealer
Customer must sign the following statement in the form provided below at time of invoking
guarantee. This completed form and a copy of the Dealer’s original receipt showing refund
to customer, the customer’s 2nd Floor Vibration Guarantee Claim Form and the customer’s
original sales receipt must be sent to Electrolux to receive credit for the purchase price
plus sales tax of the returned product(s) within 45 days of refund to the customer.
Certification of Refund and Return of Appliance(s)
I certify that (i) I purchased the below identified products from the Electrolux dealer identified
below; (ii) I have run my washer a minimum of ten (10) cycles; (iii) I will return the appliance to
the dealer or have dealer pick up the appliance within 30 days; and (iv) the dealer identified
below has made all arrangements to refund me the purchase price of such products plus
sales tax paid by me. All other fees are customer’s responsibility.
PRINT CUSTOMER NAME
CUSTOMER SIGNATURE DATE
ADDRESS
CITY STATE ZIP
$
AMOUNT REFUNDED
CHECK MODEL
NUMBERS OF
RETURNED
APPLIANCES
❑ Check if New Construction
❑ EFLS617STT
❑ EFLS617SIW
❑ EFLS517STT
❑ EFLS517SIW
❑ EFLW417SIW
❑ EWFLS70JSS
❑ EWFLS70JIW
❑ EIFLS60LT
❑ EIFLS60JIW
❑ EIFLS55IIW
❑ EIFLW50LIW
❑ EIFLS20QSW
SERIAL NUMBER SERIAL NUMBER
BELOW TO BE COMPLETED BY DEALER AFTER PHYSICAL RETURN OF ELIGIBLE
APPLIANCES AND MAILED WITH CUSTOMER 2ND FLOOR VIBRATION GUARANTEE
CLAIM FORM, CUSTOMER ORIGINAL RECEIPT AND DEALER RECEIPT FOR REFUND
TO: ELECTROLUX SECOND FLOOR GUARANTEE
PO BOX 621030, CHARLOTTE, NC 28262
WITHIN 45 DAYS OF REFUND TO CUSTOMER.
DEALER NAME ELECTROLUX CUSTOMER #
DEALER REPRESENTATIVE SIGNATURE DEALER STORE LOCATION
FRAUDULENT SUBMISSION could result in federal prosecution under mail fraud statutes
(Title 18, USC Sections 1341 and 1342) and any other applicable criminal laws.
E16SFGF-2 03/16