bms - repair request form

							                                                                                              Form 033 Rev 004 Page 1 of 1

                                                                         REPAIR REQUEST FORM
                                                                         **** ALL AREAS MUST BE COMPLETED ****



                                                                      Customer Reference:




    CUSTOMER DETAILS                                                    DATE:
    Contact                                                                     Phone:
    Name:
                                                                                Fax:
    Company:                                                                    e-mail:

    Address:                                                                    Other:




Important Notice:
     Failure to include the following items may result in a delay of equipment repair.
       Any items required for the operation of the PC must be included (e.g. AC Adaptor, Ext
         FDD, etc)
       Any Passwords must be included with or removed from the PC.
     Business Management Systems will NOT accept responsibility for loss or damage to software
      or data on any computer while in the course of service. It is the responsibility of the owner to
      ensure that they have adequate backups of software/data taken from the computer BEFORE
      sending it to us for service.
     REPAIR ESTIMATES ARE CHARGED AT € 100 + VAT


                                                EQUIPMENT DETAILS
    Model:                                                          Serial Number:
    Equipment
    Included




                                                FAULT DESCRIPTION:




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             portable computing, new product releases, etc., please tick this box and ensure you e-Mail address has
             been recorded above.
             Mulcahy Keane Estate, Greenhills Rd., Dublin 12, Tel: (01) 4505277; Fax: (01) 4500239
        BMS General e-mail: info@bms.ie BMS Technical e-mail: technical@bms.ie Web: www.bms.ie
NOTEBOOK COMPUTER REPAIR CENTRE