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Service Forms

Photocopier Service Request Form
* Required
*Name:
*Machine Location:
Order Number:
*Contact:
*Phone:
Fax:
*E-mail:

*Equipment Type:         *Brand:

*Model:  Service Due at: Copies   *Copies Up:


*Description of Fault:
Is this machine under warranty? 
Yes No

Repair:     Periodic Maintenance:     Quote:     Ring Before Attending:

   Extra Supplies:
Toner:    W/Toner Bags:    Ribbons:    Ink Roll:    Other:

Riso Consumables

Model:   Ink - Black: Boxes   Colour: Boxes

Masters - A3: Boxes   B4: Boxes

Do you have an account with us?
Yes No
Non Account Customers Please Note:- Full Payment is Required Upon Completion of Work.


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