Salutation
*
-- Select --
Dr
Mr
Mrs
Miss
Mdm
Company Name
Name
*
Address
Postal Code
Contact
*
Home
Office
Fax
Handphone
Email
*
Type of Service Required
Service
*
Free Inspection
General Service
Chemical Cleaning
Maintenance Contract
Prefered Date
(dd/mm/yyyy)
Prefered Time
Morning
Afternoon
Air Con Information
Brand
-- Select --
Carrier
Daikin
Fuji Air
Fuji Electric
Fujitsu
Hitachi
LG
McQuay
Mitsubishi Electric
Mitsubishi Heavy
National
Samsung
Sanyo
Sharp
Toshiba
York
Others
If Others, Please state
Type of Equipments
Window Unit
Qty
Model
Casement Unit
Qty
Model
Ceiling cassette Unit
Qty
Model
Ceiling suspended Unit
Qty
Model
Ceiling ducted Unit
Qty
Model
Condensing Unit
Qty
Model
Description of Symptons
Not Working
Fancoil Water Leaking
Not Cold
Fancoil Noisy
Trunking Condensation
Fancoil Smelly
Horizontal vane not working
Gas Leaking
Horizontal vane broken
Trip power supply
Remote controller not working
Outdoor water leaking
Remote controller no display
Outdoor unit noisy
Describe the fault in details:
*
*These fields are necessary to fill in or the form will not be Sent.