Service Request If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Date * Technician --- Christian Jomaa John Larkin Morke Hari Company Information and Service Location Company Name * Repair Address * Repair Suburb * Repair Post Code * Site Contact Name * Contact Email * Site Contact Phone Number * Payment Type * COD Credit Card Purchase Order (Account Holder) Customer Purchase Order Number * Billing information Same as above Billing Email * Address * Suburb * Post Code * State NSW VIC QLD ACT WA Printer Details Call Priority * Low (next day) Medium (same day) High (within 4 hours) Printer Make * Brother Canon Dell Epson HP IBM Kodak Konica Minolta Kyocera Lanier Lexmark Oki Ricoh Sagem Samsung Sharp Toshiba Xerox Printer Model Your Printer ID Serial Number Fault / Error Details The more information you provide the quicker we can assist you. Provide error code, if applicable (will be helpfull to diagnose fault) Fault Report * What does 7 - 2 = * Please note: You hereby agree that by logging your Service call you will agree to pay for the Technical call out fee (Minimum $105.00 Excluding GST) irrespective of whether our Technician can repair your Device We offer a 3 Months Warranty on any spare parts installed or used to repair your device. E-mail confirmation will be sent to to your user email address confirming your service request Your assigned Technician will call and arrange a suitable time on-site for repair/service Any spare parts required to repair your printer will be quoted and approved prior to installation JobID Scanned Reference