Service Request Form| CarnaudMetalbox Engineering

Service Request Form

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Please ensure the fields marked * are completed.
Sections 1, 2 & 4 are to be completed by the customer and areas of section 3 where applicable.

1. Senders Details
Name		*
Company Name		*
Plant Name		*
Street address		*
Address (cont.)
City		*
State/Province		*
Zip/Postal code		*
Telephone		*
FAX		*
e-mail address		*

2. Invoicing Details (if different from above)
Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

3. Details of Work
Machine Type		*
Serial Number		*
Nature of Work		*
Start Date
Estimated Duration
Special Requirements		All Waste arising as a result of carrying out the above work will be disposed of by customer

4. Travel & Accomodaion
Engineers Name
Depart Shipley
Arrival Date
Arrival Time
Flight Details
Arrival Airport
Car Hire

Transfer from Hotel		Arranged by Customer ? - - Or arranged by CMB
Hotel Booking		Arranged by Customer ? - - Or arranged by CMB
Hotel Name
Hotel Address
Address (cont.)
State/Province
Zip/Postal code
Hotel Telephone
		If hotel transfer to be by CMB please provide a map showing how to get from the airport to the hotel & to the factory

5. Customer Confirmation		I acknowledge the above details and confirm the booking of your Service Engineer against our purchase order number:
Purchase Order Number		*
Name:		*
Position:		*
Date:		*