Service or Repair Request Form

This form is to set-up an appointment with us for service or repair at your premises.

Service or repair services are available from Monday to Friday between 08:00 - 12:00 hrs and 14:00 - 17:00 hours.

All fields with a red star are required to be filled out.

Contact Information
Please enter your contact information below.

Please enter the address for service delivery.
Please enter your phone number so that we can contact you about service delivery or repair.

Service or Repair Information

Appointment Preference