Machine Service Form     

 

Customer Details:

 

 

Company Name:  

 

BP Code:customer code 

Contact Person:

 

Phone No:

 

Fax No:

 

Email:

 

Address Details:   

Machine Location:

 

 

State:    p/code:

 

 

 

Machine Details

 

 

Machine Model & Fault :

 

(eg: HP 2600, Paper Jaming)

 

Does the machine turn on?

 

 

  
Date of Last Service:   

 

 
  

Please Note:

-By completing this form you are adhering to pay our standard call out fee.