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Elite Fitness Service Request Form
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Please fill out this form if you have a product you would like serviced or inspected that is outside the Elite Fitness warranty period or you have bought from another outelet (* = required fields)
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| Customer Name*: |
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| Street Address where product is held*: |
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| Suburb: |
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| Town/City*: |
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| Telephone*: |
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| Mobile*: |
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| Email Address*: |
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| Where was the item purchased?*: |
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| If bought from an other outlet, what is the name of the company?: |
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| If bought on Finance what company was it financed under?(e.g. Gilrose, GE Creditline, Hopscotch): |
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Servicing Details
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| Approximate age of machine*: |
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| Equipment serial no: |
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| Equipment Manufacturer/Brand*: |
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| Equipment Model: |
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| Nearest Service Agent*: |
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Supplemental Information
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| Number of People who use the item?: |
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| Weight of heaviest user: |
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| How many hours per week is the item used?: |
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| Has any maintenance or previous repairs been carried out on the item?: |
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| Please provide a short explanation of the fault |
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Terms and Conditions
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All our warranties are back to base. If you wish a technician to attend your premises or home, an hourly travelling charge or callout fee may apply. For all call outs payment details are required prior to attending the site. A rough estimate of costs can be provided before callout.
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I have read and accept the terms and conditons above*Acceptance
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| First Name*: |
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| Last Name*: |
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