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If you are experiencing problems with your gym equipment or would like to book a service with our engineers then it couldn't be easier. Please complete the form and try and give us as much information as possible so that we can rectify your issues at minimum inconvenience to you.

Service Request Form
Date
Customer Information:
Name of person requesting this work:
Are you authorised to order this work?
YES NO
Do you have an official Purchase Order No?
YES NO
If YES please enter it in the box below:
Address:
Telephone number:
E-mail address:
Contact name on site:
Contact number on site:
Access Information: Please tell us if there are key fobs or codes to gain access to site, stairs or restricted access, or times when it is not possible to gain access. Hard hat areas and whether identification is required.

Please note: If we are unable to gain access to your site at the arranged time there will be a charge for this.

Machine(s) Information:
Please give Model, Serial number and fault or service required.
First fix
Where possible we will try and fix the faults on your equipment on our first visit. This avoids the further cost of a return trip and labour charge. If the work involved exceeds that which is costed into the callout then it is sometimes necessary to go away and wait for further authorisation to carry out the repairs.

Therefore, you may choose to authorise us to carry out repairs up to a certain limit on our initial visit where those costs fall outside of our callout charge and labour.

I authorise Active Service to “first fix” only if the cost of repair does not exceed (please insert an amount in the box).
What happens now?

Thank you for this information. We will contact you on receipt of this form with an estimate of the service/repair costs and to arrange a visit to your site.


Postal Address
ProActive Health Ltd
PO Box 433
Witney
Oxfordshire
OX29 9FA

Tel: 0800 434 6170

Fax: 0870 84 84 843


© copyright Active Service 2005