Repair Request Form Use this form to request repairs to faulty equipment.Customer Type:*BusinessIndividualExisting and past customers save time by using your Customer ID. Customer ID's can be found on the top LHS of any TGC invoice, quote or statement.Are you an existing or new customer?*New CustomerExisting Customer (with Customer ID)Existing Customer (without Customer ID)Customer ID*Name of person requesting job?*Email Address?*CompanyCompanyFirst Name*Surname*Address*Suburb*State*VICNSWACTQLDNTSAWATASPhone*E-mail* MobileEquipment InformationPlease enter details of the item requiring repair below. If you have multiple items you can add additional items using the button at the bottom of this form. You can submit up to 10 different items.Repair Item*Equipment TypeEquipment Type if not listedMakeMake if not listedModelSerial NumberFault Description Select..TreadmillBikeIndoor CycleCrosstrainerRowerStepperWeigh MachinePilates MachineViration MachineSelect..Life FitnessStairmasterNautillusTechnogymKeiserStartracCybexConcept2LandiceNordictrackFreemotionSportartMatrixJohnsonHorizonUniversalYorkHealthstreamBHSLemondSchwinnPrecorVisionConcept2First Degree FitnessEnter fault description here... Comments / Additional InfomationPhoto Upload Drop files here or Accepted file types: jpg, gif, png, jpeg. A photo of you equipment or faulty part can often help. Please upload a photo if you think it will help or if advised by TGC.CaptchaBy submitting a job request (or enquiry that results in a job) you are agreeing to Total Gym Care’s General Conditions of Sale This iframe contains the logic required to handle Ajax powered Gravity Forms.