[ISRF] Installation/ Service Request Form

[ISRF] Installation/ Service Request Form

Installation/ Service Request Form

Air- conditioners/solar inverter/Industrial RO water plant
Date

MonthDayYear
Name*

First NameLast Name
Customer 's Email *

Confirmation Emailexample@example.com
Phone Number*
Please enter a valid phone number.
Site Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Describe your request
Image/file Upload for site reference

Cancelof

The following table will be filled by the Installation engineer:

My Products
Categories:All

All

Air-Conditioner_Accssories
prevnext( X )
Air-Conditioner_Accssories

Standard Installation
Indoor & Outdoor Standard AC installation accessible area with Copper pipe provided by OEM.

$1,500.00 Quantity



Addl. Copper pipe with Insulation
UOM_Rft. Supply & fixing of Copper pipe with insulation complete with all accessories.

$300.00 Quantity



Power Copper cable
UOM-Rft. Supply & fixing of Copper cable with complete with all accessories.

$100.00 Quantity



ODU stand with Installation
UOM_Set

$950.00 Quantity



AC moist water pipe
UOM_Rft

$60.00 Quantity



Wrapping Tape with fixture
UOM_Pcs

$200.00 Quantity



Re installation & Vaccumisation
UOM_Set

$2,500.00 Quantity



Subtotal

$0.00

Tax

$0.00

Shipping

$0.00

Total

$0.00

Estimations

Rows	Description	Operation	Quantity/ Hour Required	Unit Price(Rs)	Amount
1
2
3
4

Calculation
Sub Total Amount ( w/o tax)
Job Completion date
Signature

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