Support Request Form

Your Company Name*

Address*

Town*

Postcode*

Contact Name*

Contact Telephone No.*

Contact Email Address*

Your email address MUST be entered here to ensure you receive your confirmation and return instruction.

Product

Product Description (If code not known)

Other Notes

Voltage*

110V 240V

Serial Number of Machine*

This can be found on the product label which is typically located on the side or top of the machine.

Approximate Date of Purchase*

Reseller Purchased From

Invoice Number

(For warranty claim, proof of purchase must be uploaded with this form, see below)

Area of Concern*

Suspected fault or symptoms*

Approximate Total Number of Hours Used*

Type of Work Undertaken when Fault Occurred*

Type of Power Source*

3kva transformer 5kva transformer 240v wall socket Generator

Approximate Length of extension lead used*

File Attachments

Please upload photos of the machine showing the serial number and any issues you wish to identify.

Please enter any other notes here

Select Service Required*

Return Address if different from the above

Preferred Support Call Time (if required)

Confirm Telephone Number

Intended Shipment Date*

Form submitted by*

I have read the terms and conditions

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