Service Request Form YOUR DETAILS Trading Name
Postal Address
YOUR DETAILS Trading Name Title Mr
Mrs
Ms
Postal Address
Other
Given name(s)
Phone
Surname
CONTROL BOX / TOOL DETAILS Type:
Serial No:
Type:
Serial No:
Type:
Serial No:
NOTES
FREIGHT (Please select from the below options) YOUR FREIGHT Send to:
PLASSON ARRANGED
PLASSON Australia 49 Distribution Street, Larapinta QLD 4110
PLASSON Australia to arrange and oncharge costs
Freight account details (leave blank for Plasson Australia arranged freight)
Pick up Address
Company:
Company:
Account #:
Account #:
Return Address
Same as Postal Address
Same as Postal Address
Return Address
Same as Above
NOTE: By sending this form the customer agrees to pay an $80 net evaluation fee if quote for repair is not accepted.
PLEASE SEND COMPLETED FORM TO: service@plasson.com.au
Phone. 1300 752 776
RESET FORM
Email. sales@plasson.com.au
SEND FORM
Web. plasson.com.au