Request maintenance service

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Request maintenance service

To request a maintenance service for your equipment, please complete the form below. All fields marked with an asterisk (*) are required in order to submit the form.

E-mail address*

Title*

Forename*

Surname*

Contact telephone number*

Address line 1*

Address line 2

Town/city*

Postcode*

Please provide the name of the product, which requires a maintenance service, and the item number if possible (you will usually find this on the product).

Please provide the serial number of the product, if available (you will usually find this on the product). This field is only required for chairs/couches and drills.

If you are requesting a maintenance service of a drill, do you require a loan drill during the period that your drill is absent? Please answer yes or no.

Would you like to have any defective parts returned to you?*

* this is a mandatory field

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