Call out acceptance form

CALL OUT ACCEPTANCE FORM
Full Name*

First NameLast Name
Company name *
Company invoicing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Site address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number *
Email address *
Please enter details of requested work and/or description of problem*
Image (issue/asset)

Cancelof
Purchase order no.(optional)
Rate Structure:

• Standard hours - Call out up to two men including first site hour and travel each way is £180.00 plus VAT. (£220.00 plus VAT for central London)

• Additional site hours at £50 plus VAT per hour.

• Out of hours rate 1 – After 16.00 and including Saturdays at £220.00 plus VAT (£250.00 plus VAT for central London)

• Additional site hours at £60 plus VAT per site hour.

• Out of hours rate 2 – After midnight, Sundays & Bank holidays at £250.00 plus VAT (£270.00 plus VAT for central London)

• Additional site hours at £70 plus VAT per site hour.

Minimum charge is the first hour rate even if we are on site less than an hour, any additional hours are billed in half hourly increments.

Expenses including congestion charge and parking will be charged additionally.
Date*

DayMonthYear
Date
By signing you agree to our attendance to your site and accept the charges shown in this document.

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CALL OUT ACCEPTANCE FORM