Customer Repair Form

This from can be filled out by a member of RPM Power if a customer brings a product for repair into the store.

This field is hidden when viewing the form

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Customer name(Required)
Purchased
Receipt Provided (In store purchases only)
Staff Member
Any information which is relevant to quotation / pre-consultation that you wish to share with our experts. Budget, required equipment, space measurements, number of expected equipment users, location, etc.
Max. file size: 12 MB.
If you have any information already on file which you wish to share pre-consultation, please attach it here (e.g. floor plan, budget outline, user training requirements, etc.)