Log a Service Call – Jetinno Coffee Machine

Service Call – Jetinno Coffee Machines

Please complete this form to report a fault with your Jetinno Coffee Machine. Technicians will use this form to record service details. All required fields must be completed. For urgent issues, contact our support line after submitting this form.
Full Name (of Contact Person)*

First NameLast Name
Business Name*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Site Address (Machine Location)*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
I acknowledge and agree to the $199 inc GST call-out fee if the fault is determined to be caused by user error or any non-warranty issue.*

I agree
Machine Brand
Machine Model*
Machine Serial Number*
Reported Issue (Please describe the problem in detail)*
When did the problem start?*

DayMonthYear
Date
Does the machine turn on?*

YesNo
Is the machine fully unusable?*

YesNo
Have you done a clean cycle in last 24hrs?*

YesNo
Upload Photos of the Issue (e.g., machine serial plate, error screen, fault area)*

Cancelof
Customer Signature (Required). By signing below, I confirm I have read, understood and agree to the call-out fee policy.*

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Job ID (Technician Use Only)
Technician Name
Work Performed (Technician Notes)
Parts Used (Technician)
Is follow-up required? (Technician)

YesNo
Additional Photos (Technician Use Only)

Cancelof
HubSpot – Combined Ticket Description
Machine Model: {q8_textbox6}
Machine Serial Number: {q9_textbox7}
Type of Location: {q6_address4}
Reported Issue: {q11_textarea9}
When Did The Problem Start: {q12_datetime10}
Does The Machine Turn On:{q13_radio11} 
Is The Machine Fully Unusable: {q14_radio12}
Photos Provided: {q15_fileupload13}
Customer Notes: 
Customer Name: {q2_fullname0}
Business Name: {q3_textbox1}
Phone Number: {q5_phone3}
Email Address: {q4_email2}
Site Address: {q6_address4}
Should be Empty:

Service Call – Jetinno Coffee Machines