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More than a service
Manaakitanga Tūturu

Repair Request

To book a non-urgent repair where the work can be carried out during business hours, please complete the details below and a repairs representative will contact you (Monday to Friday 8am to 5pm). Alternatively see our contact options

For after-hours urgent repair information please refer to our FAQ section

Client Details

Client Name:
Phone Number/s:
Email Address:
NHI Number:
ACC Claim Number:
Private Job: YES
 

Repair Location Address:

Address1:
Address2:
Suburb:
Town/City:
 

If this request is being completed on behalf of the client, please provide the following details:

Contact Name:
Relationship to client - (carer, family, friend etc)
Organisation Name (if applicable):
Contact Phone/s:
Contact Email:

Special Instructions(including specific contact details)

Communication will be directly with client unless requested otherwise.

Item(s) to be repaired: *

Problem / Issue with Equipment: *

 

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