Your email address:

Tell us about the equipment
Equipment type:
 (eg TV, DVD, SAT receiver)

Make:
 (eg Panasonic, Hitachi)

Model:
 (The model number, rear label)

Age:
 (How old is it?)

Replacement value:
 (How much would it cost to replace it with a new one?)

Has anyone else looked at it?
 (Has this equipment been to another repairer for this problem?, Yes or No)

Result of above:
 (Please tell us the result of that repair attempt)

Fault:
 (Please describe the fault as fully as possible)

Warranty Details
Warranty:
 (Is the equipment under warranty, Yes or No)

With:
 (Who is the warranty with?)

Start date:
 (When did the warranty start?)

Years:
 (How many years cover with this warranty?)

Policy number:
 (Warranty policy number)

Full Contact Address Details
House name and/or number:

Street:

Town:

County:

Country:

Post code:

Daytime tel no.:

Evening tel no:

Mobile tel no: