Information

  • Book In Date

  • Received by

  • PO #

Customer Information

  • Company/Book in Name

  • Phone Number

  • Email Address

  • Address

Machine Information

  • Photo of the Machine

  • Can you find Serial Number?

  • Serial Number

  • Model

  • Are there any Accessories being dropped off?

  • Is this Machine under it's Warranty Period?

  • Why is the Machine being Brought in?

  • What is the issue with the machine?

  • What is the issue with the machine?

  • Does the customer want a quote?

  • What is the right to repair amount?

  • Does the customer want a quote?

  • What is the right to repair amount?

  • Does the customer want a quote?

  • What is the right to repair amount?

Signed

  • Our repair work is guaranteed only to the extent of the parts replaced and Labour provided by Spitwater. Alterations or adjustments to your machine after we have repaired it will render the guarantee void and any consequent parts and labour required to repair your machine must be paid for. Estimates are not firm prices they are guides to the probable costs of repairing your machine. Due to unknown difficulties or complexities which may be encountered during the repair it is not always possible to give a firm price. If you do not proceed with the estimate to repair your machine a DIAGNOSTICS FEE of $110.00 inc. GST will be charged for producing the estimate to repair.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.