| First Name* |
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| Address* |
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| Postal Code* |
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| contact No |
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| Fax* |
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| Email* |
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| Equipment Type* |
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| Preferred Date (dd/mm/yyyy) |
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/
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| Phone No * |
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| Serial Number* |
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| Warranty Card Number* |
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| Description of Symptom |
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| |
Not Cold |
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Trunking condensation |
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Gas leaking |
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Trip power supply |
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Fan coil water leaking |
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Fan coil noisy |
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Fan coil smelly |
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Horizontal vane not working |
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Horizontal vane broken |
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Outdoor water leaking |
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Outdoor unit noisy |
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General servicing |
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Remote control not working |
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Remote control no display |
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Other symtoms |
| Message* |
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| |
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| * Mandatory Field |