E-Appointment (for Air-Con Only)
Please fill in the application form below to get a servicing appointment. All blanks with asterisk
*
are compulsory.
Thank you for your co-operation. We are looking forward to serving you better.
Name (As in NRIC)
*
:
Dr
Mr
Miss
Mrs
Mdm
Ms
Address
*
(Address of Aircon for Maintainance):
Contact No
*
:
Warranty No. of Product:
Date of Purchase
*
:
DD
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MM
01
02
03
04
05
06
07
08
09
10
11
12
YYYY
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Brand Of Air Con:
Air Con Model:
Problem with Air con / Service needed
*
(Please specify):