Warranty Request Form

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 callout

Service Call $110.00 + Labour Fee of $33.00 per 15 minutes.
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

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