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Site Service Request Form

 

PLEASE FILL IN THE FORM BELOW FOR SITE VISIT

 

  

Only priority customers with current service contracts can book a visit within 24 hours.

 

 

*Required information.
Company Name *
Location *
Your Name *
Email Address *
Direct Phone Number *
Select Date of Visit *
Time Of Visit *
Do you have a serviced contract - Please select Y/N *
Purchase Order Number *
Make of Machine *
Model of Machine *
Machine Serial Number *
Reason for Visit *
Further details
Characters left:

 

 

Please note that unless the visit is cancelled by email to info@pharmafoods.net at least 48 hours before the agreed visit time,

a fixed charge of €600 ex VAT will apply to all cancellations.