APPLICANT DETAIL

    · Company / Business Name*

    · Address*

    · Applicant*

    · Preferable Time

    · Date of Purchase*

    · Model

    · Serial Number*

    · Description of Fault*



    applicant is different from the user / customer.

    CUSTOMER DETAIL

    · Company / Shop / Trading Name*

    · Shop Address*

    · Billing Address* Same as above

    · Contact Detail*

    · Available Time

    PAYMENT DETAIL

    *Payment will NOT be processed UNTIL there are any chargeable items.

    · Card Holder Name*

    · Card Number*

    · Expiry Date*

    /

    · CVN*

    · Type*

    (*2.2% of Surcharge will be applicable if you choose to pay by card)

    ·Warranty call out is within our business hour : Monday-Friday 9:00am-5:00pm.
    ·Please give us 48 business hours to contact you after you submit this form.
    ·The progress may be delayed or not proceeded if you do not provide the required document fully.
    ·Claims for non-warranty items, (including lacks of basic care or maintenance eg. Dirty/blocked condensers,
    modification on the items, unsuitable environment for using like ambient temperature, unlevelled place etc
    or no fault found will be chargeable.
    ·Travel charge will be occurred if it is outside of metro area.
    ·Any chargeable items will be charged directly to your account / credit card detail that you provide. By submitting this form, you grant the authorization to “FRESH REFRIGERAITON AUSTRALIA” to charge you the invoiced amount by using the detail.
    ·Not all warranties are onsite. Depends on the circumstances, the warranty may be back-to-base.

    By submitting this form, I agree to the above policy and Terms and Conditions of FRESH REFRIGERATION AUSTRALIA and claim the Service.