Integration & Service : Onsite Job Request

CUSTOMER DETAILS
Customer Name*
Alternate Contact Name*
Company Name
Department
Position
Address*
City/Suburb*
Postcode*
State*
Contact email*
Phone*
Fax

JOB DETAILS
Equipment*
Model*
Serial Number
Work Type

If this is an internet installation, do you have your login & password?


By selecting NO, there may be a possibility that the job may not be able to be completed

Fault / Work Required*
Do you have an internet connection?
Do you have all relevant software/media available?

CHARGE & PAYMENT DETAILS
Cash Credit Card Cheque Vouchers Contract
* Please note a 3% surcharge applies to Amex and Diners Club.
FEES CHARGES AND CONDITIONS INFORMATION
Warranty terms are return-to-depot only except under contractual conditions.
Warranty covers hardware only. Software (except for the media) is not covered by warranty.
Proof of purchase is required for all warranty claims.
Purchase Orders are required for all non-COD customers.
On-site COD Service Requests require payment on completion of work.
Computers Now will not be held responsible for any loss or damage to the equipment, accessories or data whatsoever caused. This includes the failure of any device while the equipment is in the care of Computers Now while at the customer premises, in transit or at Computers Now.

I wish to recieve additional information relating to Compnow Products & services

I wish to be contacted by a icorp Representative in regards to a customised service solution

I have read the terms,charges and conditions and wish to procced with the onsite job request.
Please note that a service charge of $66 will apply to jobs not cancelled (by phone) within 24hrs of the scheduled time