Repair Request Form Use this form to request repairs to faulty equipment. Customer Type* IndividualBusiness 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? * New CustomerExisting Customer(Without ID)Existing Customer(With ID) Customer ID Email of person requesting job? Phone * Company Name * Firstname * Lastname * Address * Suburb* State * —Please choose an option—VICNSWACTQLDNTSAWATAS Email * Phone * 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 : TreadmillBikeIndoor CycleCrosstrainerRowerStepperWeigh MachinePilates MachineVibration MachineOther Equipment Type Other Make Life FitnessStairmasterNautillusKeiserStartracCybexJohnsonHorizonUniversalYorkHealthstreamBHSLemondSchwinnPrecorVisionOther Make Other Model Serial Fault Description RemoveAdd Item Additional Information Add Photos Additional Comment