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A1E-AERIALS.CO.UK
Make a Repair Enquiry - PLEASE COMPLETE IN FULL (IF YOU ARE EXPECTING A REPLY)...
Full Name:
E-Mail Address:
Equipment Type eg TV, DVD Player etc:
Make/Manufacturer:
Model No:
Age of Equipment:
Value of Equipment:
Has anyone else looked at this equipment?..Yes/No:
What was the result of that investigation?:
Please describe the problem that you have with this equipment:
Is the equipment still under warranty? Yes or No:
If Yes, Who is the warranty with?...please give details tel nos etc
When did the warranty start?
How many years does the warranty last for?
Please state the policy number:
House name/number:
Street:
Town/City:
County:
Country:
Post Code:
Daytime Telephone No:
Evening Telephone No:
Mobile Telephone No:
Security Code:
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