Checkin

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Use this form to book in your job

* Indicates required field

Name *

First

Last

Phone Number *

Mobile Number preferred - so we can SMS if needed

Street Address or PO Box *

Additional Address Details *

City *

Postcode *

Address is Rural Delivery *

Yes No

Please advise if your return address is an RD to allow us to correctly calculate the courier fee, Thankyou

Order Number or Reference *

If needed, insert an order number or reference for your use here

Email *

This Email will be used to contact you, so please ensure it is correct

Accessories *

Case Strap Battery Body Cap Rubber Eyecup Memory Card / Film Lens Cap Rear Lenscap Lens Hood Filter Other - Specify Below

Check items that have been included

'Other' Accessories *

If you checked 'other' above please insert what they are here

Estimate Required ? *

I understand all repairs incur a NON REFUNDABLE deposit of $65 inc GST *

Yes

Please click to confirm that you understand this condition - payment options are outlined below

Main Equipment Sent *

Insert the make and model of the main equipment, eg camera body

Second Equipment Sent *

Insert the 2nd equipment sent, if so, eg : Lens fitted to body

Serial Number of Main Equipment *

Insert serial number if possible

Serial Number of 2nd Equipment *

Faults / Work Required *

Please be descriptive, and describe the issues you are experiencing with your equipment

Additional Information *

Use this space for any additional information if needed

Deposit Payment Options - Please choose One from Dropdowns *

Please select your preferred method of paying the deposit

Credit Card Number *

Please insert the credit card numbers - 4 sets of 4 numbers

Credit Card Expiry Date *

Please insert the Credit Card Expiry date

Credit Card 3 Digit Number from Rear of Card *

Please insert the card CSC / CCV number from rear of card

Submit

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