Onsite Service Request Form


Please complete and submit the form below

Date:  * (dd/mm/yyyy)  
First Name:  *  
Last Name:  *  
Company Name:  *  
Street/Postal Address:  *  
Suburb:
Post code:
Country:  *  
Contact Phone:  *  
Fax:
Email Address:  *    
Purchase Order:
(Please note your PO is required prior
to scheduling an onsite engineer)
 *
Date Purchased:  (dd/mm/yyyy)
Instrument 1
Make:
Model:
Serial No:
Please give clear description of
fault and error codes
Instrument 2
Make:
Model:
Serial No:
Please give clear description of fault  
and error codes
Delivery Type: Select One:


Following submission of this online form, a member of the service team will contact you to finalise your service arrangement and send you official paperwork to accompany the goods.

Service department contact details:

Phone : 0800 933 966 , Option 2 (instrumentation servicing)
Fax : +64 9 980 6795
Email : ServiceNZ@thermofisher.com



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