Equipment Submission Form

Please submit your request online or download the PDF and send via the contact page.

    Customer Details

    Customer/Shop Name

    Client ID/Name

    Contact Number

    Email Address

    Return Address

     

    Equipment Details

    Make/Model

    Estimated age of unit

    In-Warranty

    Fault Description

    A short description of the pools condition can be useful for fault diagnosis.

    Components Supplied.

    Note: It is best to send it the Control Box and Canisters. The trolley is not required.

    Pre-Approval Amount:

    Date:

    Signature: