Service Request Form
Name
First Name
Last Name
Address
Unit Number | House Number
Street Address
Suburb
State
Postcode
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Additional Phone Number
Please enter a valid phone number.
Format: 0000 000 000.
Email
*
example@example.com
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How Many Items do you need Repaired or Serviced?
Machine Model Number:
Machine Serial Number:
Please Attach a picture of your Model + Serial Number and of the machine
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How old is the Machine:
Did you purchase the product Brand New?
YES ORIGINAL OWNER
NO SECOND HAND
Where did you purchase the product from?
Do you have your Proof Of Purchase?
YES
NO
Please attach your Proof of Purchase:
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Fault Description:
Please upload any picture's or video's that may assit with diagnosing the fault:
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Please be advised, it is always hard to ascertain the exact fault until the technician is on site and does all relevant testing on your machine. We always try to help to diagnose over email although we can never be certain until your machine has been assessed by the technician.
Agree
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