I agree that if the fault is not covered by my warranty or is due to user error the following fees will apply and payment will be required upon completion of calloutService Call $297.00 (includes up to 1 hour on site) then $44.00 per 15 minutes after that. All prices include GST (parts are not included). Payment terms are C.O.D.

Company (if applicable)
Full Name*
Site Address*
Suburb*
Post Code*
Home Phone*
Business hours Phone
Mobile
Email*

Date of Purchase

Invoice Number

Type of Air Conditioning Unit
SplitDuctedOther

Brand of Unit
ActronDaikinFujitsuLGMHISamsung

Outdoor Unit
Model No: Serial No:

Indoor Unit
Model No: Serial No:
Model No: Serial No:
Model No: Serial No:

Fault / Comments*
Please select which day(s) of the week best suits you for the technician to attend: Monday       AMPM Tuesday      AMPM WednesdayAMPM Thursday     AMPM Friday           AMPM