Indemnity Form for Change of Filters and Servicing of 3rd party Water Dispenser

Liability Waiver: I hereby represent the below stated company / myself (in case of household) and waive, release and forever discharge any and all rights and claims for void of any Warranty / Guarantee of my machine, damages to machine which I may have or may accrue to my company / me (in case of household) against Quantum Impact Pte Ltd and East Peak Pte Ltd (partner of Quantum Impact Pte Ltd)

By typing your name below and clicking “Submit”, you are electronically certifying this Waiver and Consent just as if you would physically sign it if it was on paper.