Repair Form

Hide Customer Info?
- Yes
Identifier
Surname/Company*
Name*
Phone*
Other Contact
Drop-off Date*
Date Format: DD slash MM slash YYYY
Machine/Model*
Serial No.*
Machine Status*
Parts
- Lid/Covers
- Frothers
- Water Tank
- Drip Tray
- Handle
Parts (other)
Repair Warranty*
- Yes
- No
Reported Problems*
Comments
Pre-Service Fee (PSF)*
- Not Paid
- Paid
PSF Total
Atttachment Upload
Signature*
Care is taken when dismantling your appliance to reduce the risk of parts breaking or being damaged as they may have become brittle with age, constant use or being poor quality or design. This is also the case with all appliances where parts have become corroded, stuck or fused together. We do not accept responsibility for such damage. We will attempt to locate alternative or generic parts to repair the unit when possible and the cost will be borne by the customer.
Identifier
Service to be Performed
Estimated Repair Cost (Inc. GST)
Repair Estimate Accepted?
- Yes
- No
- Customer not able to be contacted
- Decision Pending
Deposit Required?
- Yes
- No
Total Deposit Paid
Deposit Date
Date Format: DD slash MM slash YYYY
Final Repair Cost Due (less PSF)
Other Service Comments
Pickup Signature
Pickup By
Pickup Date
Date Format: DD slash MM slash YYYY

Trading Hours

Mon - Fri - 9:00am - 4:45pm
Sat - 9:00am - 1:00pm
Sun - Closed

180 Marion Street
Leichhardt, NSW 2040

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