- 081365778899
- [email protected]
- Jakarta, Indonesia
- Medan, Indonesia
AFTER SALES
SERVICE FORM
Hotline: 0813-6577-8899 | Website: www.kontraktorhvac.com
-
A. CUSTOMER INFORMATION
- Company / Customer Name
- Address*
- Contact Person*
- Phone / WhatsApp*
- Email*
-
B. EQUIPMENT DETAILS
- Product Type*
- Chiller
- Split Duct
- AHU
- Cleanroom System
- Other
- Other
- Brand / Model
- Serial Number
- Installation Date MM slash DD slash YYYY
- Installed By*
-
C. SERVICE REQUEST DETAILS
- Type of Request
- Warranty Claim
- Maintenance
- Inspection
- Repair
- Other
- Other*
- Problem Description*
- When did the issue occur?
- Is the unit currently operating ?*
- Yes
- No
-
D. SUPPORTING DOCUMENTS
- Upload Documment
- Proof of Purchase / Invoice
- Installation Report
- Photos / Videos of the Problem
- FileMax. file size: 512 MB.
- FileMax. file size: 512 MB.
- FileMax. file size: 512 MB.
- Post Custom Field
-
E. DECLARATION
I hereby confirm that the information provided above is true and accurate.I agree to the terms and conditions of the after-sales service from KONTRAKTOR HVAC.
- Customer Signature:Max. file size: 512 MB.
- Date MM slash DD slash YYYY
