Repair Request Form

Use this form to request repairs to faulty equipment.

Customer Type:*

Business
Individual

Existing and past customers save time by using your Customer ID. Customer ID's can be found on the top Left Hand Side of any TGC invoice, quote or statement.

Are you an existing or new customer?*

Customer ID*

Name of person requesting job?*

Email Address?*

Company

First Name*

Surname*

Address*

Suburb*

State*

Phone*

E-mail*

Mobile

Equipment Information

Please 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.

Equipment Type

Equipment (Others)

Make

Make(Others)

Model

Serial No

Fault Description

Addtional Information

Additional Comment

Add Photos

Drop files here or

Notice to Customers

Equipment Information