Centigrade Ltd Online Booking Request

Please complete this form to discuss a potential booking.

The more information you can give the better service we can provide.

Please look out for our reply which may go into your Junk mail Folder

Customer Details

Name *

Title

Email Address

Text Number

Phone Number

Address Postcode

Address Line 1

Address Line 2

Address Line 3

Address City

Address County

Address Country

Property Directions

Alternative Email Address

Job Details

Appliance Type *

Appliance Make

Model Number

Serial Number

Product Code

Who is requesting the job EG Retailer / Customer *

Fault Details

Job Info and Fault Details as reported by customer *

Customer supplied image / video

Warranty Details

DOP

Authority / 3rd Party Job reference

Retailer

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