www.euroappliance.co.nz
 

  Repair Booking Form
 

Information If you do not require an item to be repaired, please use our contact us page to send your equiry.

email address:
Homepage:
URL:
Comment:

Online Booking Service - We will contact you to confirm a suitable date and time.
Contact Name*:
Address*:
Home Number*:
Mobile Number*:
Work Number*:
Email*:
Appliance*:
Brand*:
Model Number*:
Serial Number*:
Is the product under Warranty? *:No Yes - "Proof of Purchase" will be required
If yes, then date of purchase:
Retailer:
Description of problem or additional information:
Verification:
9 + 9 =  Fill in the result