AMC Domestic Engineer Booking
Completion and submittal of this request form, you are under no obligation to pay for any service/attendance charge until a booking has been attended. Once request received an AMCRS representative will contact you with an attendance time. AMCRS terms and conditions apply. All information/personal data submitted will be used solely by AMC Refrigeration Services and at no time passed to any third party. Please use this form for its intended use only.
Customer Name
*
Prefix
First Name
Last Name
Jobsite Address
*
Street Address
Street Address Line 2
Town/City
County
Postal Code
Site Telephone
-
Area Code
Phone Number
Mobile
*
Site contacts mobile number
Customer email
*
contact email
Landlord or Company Name
If Applicable
Landlord Address
Street Address
Street Address Line 2
Town/City
County
Postal Code
Landlord Phone
-
Area Code
Phone Number
Landlord Mobile
Landlord mobile number
Invoice email
Landlord email
Preferred Method Of Contact
*
Phone
Mobile
Email
any
Appliance Style
*
Freestanding
Integrated
American Style
Other
Appliance Type
*
Fridge
Freezer
Fridge-Freezer
Chest Freezer
Other
Appliance Make
Manufacturer
Appliance Model
Model number
Appliance Serial
Serial number
Reported Fault
*
Message and further information
Name of Person Making Booking
*
First Name
Last Name
Enter the message as it's shown
*
T&C's (tick box)
*
I/we accept terms/conditions/privacy policy read & accepted
Submit
Should be Empty: