Service Request Form
(Please select from the below options)
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
DETAILS Trading Name Postal Address Phone. 1300 752 776 Email. sales@plasson.com.au Web. plasson.com.au NOTES CONTROL BOX / TOOL DETAILS Type: Type: Type: Serial No: Serial No: Serial No:
YOUR
DETAILS Trading Name Postal Address Given name(s) Phone Email Surname Title Mr Mrs Ms Other
Company: Company: Account #: Account #: Send to: 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 Return Address Return Address YOUR FREIGHT PLASSON ARRANGED Same as Postal Address Same as Above Same as Postal Address
YOUR
FREIGHT