AMC Domestic Engineer Booking
Completion and submittal of this request form, you are under no obligation to pay for any service/attendance charge until a booking has been attended. Once request received an AMCRS representative will contact you with an attendance time. AMCRS terms and conditions apply. All information/personal data submitted will be used solely by AMC Refrigeration Services and at no time passed to any third party. Please use this form for its intended use only.
Contact Name
*
First Name
Last Name
Jobsite Address
*
House number/Flat number/House name
Street Address
Town/City
Postcode
Site Telephone
*
-
Area Code
Phone Number
Mobile
*
Site contacts mobile number
Customer email
*
contact email
Is site factor or landlord managed.
*
No
Yes - person or company liable for paying for services is different from jobsite contact details.
Landlords Name
Name or Company
Landlords Address
House number/Flat number/House name
Street Address
Town/City
Postcode
Landlords Phone
-
Area Code
Phone Number
Landlords Mobile
Contact mobile number
Invoice email
Billing email
Preferred Method Of Contact
*
Phone
Mobile
Email
any
Appliance Style
*
Freestanding
Integrated
American Style
Other
Appliance Type
*
Fridge
Freezer
Fridge-Freezer
Chest Freezer
Other
Appliance Make
Manufacturer
Appliance Model
Model number
Appliance Serial
Serial number
Reported Fault
*
Message and further information
Name of Person Making Booking
*
First Name
Last Name
Verify
*
T&C's (tick box)
*
I/we accept terms/conditions/privacy policy read & accepted
Submit
Should be Empty: