Internal Service Booking

Please fill in the form below to arrange a service call.

1. COMMUNICATION

Customer Commmunication*

Do you want Customer Service to contact the customer as part of the initial booking process. Refer to: Section 5. Site Specific Information

Yes
No

2. CUSTOMER CLASSIFICATION

CUSTOMER CLASSIFICATION

Please ID the customer type for prioritisation.

Reece - VAP, Branches and Project Sales
Key Accounts - Top 30 defined Key Accounts list
Priority Care division - Major FM / Contracts
Other - Standard callout requirement for all other customers

3. BILLI STAFF CONTACT

Billi Staff contact name*

Billi Staff contact email*

State*

4. CUSTOMER SITE ATTENDANCE DETAILS

Where are we going?

Customer Type*

Existing - customer account # should be supplied
New Commercial - enter new Company details
New Residential - enter new Customer details

Customer #

Company or Customer Name*

Site Address*

Street Address City / Suburb State Postcode

5. SITE SPECIFIC INFORMATION

Who do we need to communicate booking details, and how do we access site efficiently?

Site Contact Name*

Site Contact Company*

Site Contact Email Address*

Site Contact Phone Number*

Site Contact Role

Are there any special instructions to ensure quick & easy access to the unit location?*

Image or File upload

Additional images or files that assist with site execution

Max. file size: 128 MB.

Image or File upload description

7. ASSET INFORMATION

Remove the cover off your unit and there will be a silver plaque with the serial number & model number displayed. How to videos >

Serial Number*

Model*

Fault/Service Description*

Please provide further explanation of fault or service requirements

Is the Asset CURRENTLY under warranty?

Proof of warranty claim will be required before approval

Yes
No

8. BILLING INFORMATION

Are Billing Contact details the same as Site Contact details, per Section 5. Site Specific Information?*

Yes
No

Customer Account #

Billing Company Name*

Billing Contact Name*

Billing Email Address*

Billing Phone Number

ABN

Billing Address

Same as Site Address

Street Address City / Suburb State Postcode

Is this a Complimentary job?*

Yes
No

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Phone

This field is for validation purposes and should be left unchanged.

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