DRONE REPAIRS NEW ZEALAND

Drone Repair Request Form
Drone Repairs New Zealand

205 Pollen St

Thames 3500

0275 986-345

dronerepairsnz@xtra.co.nz
Date

DayMonthYear
Customer Information
Name

First NameLast Name
Address

Street

Street 2

ProvinceCity

Post Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
DRONE MODEL
CRASHED? Has the drone crashed or had a hard landing?
Is the Drone Insured?
Date of actual incident

DayMonthYear
DRONE ISSUE (in your words)
In your words what is your drone doing or not doing, i.e. what is it's problem/problems?
Initial Assessment Fee (non-refundable)
prevnext( X )
Initial Assessment Fee (non-refundable)
Initial Assessment Fee (non-refundable)

$150.00 NZD

Freight (to return your drone to you)
$35.00 NZD Quantity

Total

$0.00 NZD
Please Pay
KIWI BANK 38-9009-0463053-01
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Drone Repair Request Form