8
Service Request
Receipt Details
Date despatched
/
/
Time
:
am/pm
Date required
/
/
Time
:
am/pm
Customer
Company
Contact name
Address
Phone number
Mobile number
Suburb
Order No.
Details of Service Request
Item
Serial No.
Description
Faults
Completion (Tech Dept. to complete)
SR No.
Date
Technician
Signed
Returned Date
Method
Omni-tuff Group
P O Box 2039 MARYBOROUGH QLD 4650
2 Activity Street MARYBOROUGH QLD 4650
Tel: 1300 662 987 Fax: 1300 852 987 Email:
sales@
omnituff.com
ABN: 54 439 047 203 ACN: 137 478 490