Work Request 2017-04-06T09:34:15+00:00

WORK REQUEST FORM

[[[["field3","equal_to","Other Location"]],[["show_fields","field6"]],"and"],[[["field4","equal_to","Other Service"]],[["show_fields","field5"]],"and"],[[["field12","equal_to","Yes"]],[["show_fields","field13"]],"and"],[[["field32","equal_to","Yes"]],[["show_fields","field30,field31"]],"and"],[[["field35","equal_to","Yes"]],[["show_fields","field34"]],"and"],[[["field3","equal_to","Christchurch"]],[["email_to",null,"samantha@fil-nz.co.nz"],["email_to",null,"tiffany@fil-nz.co.nz"]],"and"],[[["field3","equal_to","Auckland"]],[["email_to",null,"james.hastings-rose@fil-nz.co.nz"],["email_to",null,"rebecca@fil-nz.co.nz"]],"and"],[[["field4","contains",""]],[["show_fields","field39"]],"and"],[[["field39","contains"]],[["show_fields","field40"]],"and"],[[["field39","equal_to","Installations"]],[["email_to",null,"dwayne@fil-nz.co.nz"]],"and"],[[["field39","equal_to","Relocations"],["field3","equal_to","Wellington"]],[["email_to",null,"tevita@fil-nz.co.nz"]],"and"],[[["field39","equal_to","Freight"]],[["email_to",null,"andrew@fil-nz.co.nz"]],"and"],[[["field39","equal_to","Storage"]],[["email_to",null,"info@storefloornz.co.nz"]],"and"],[[["field39","equal_to","Workshop"]],[["email_to",null,"info@storefloornz.co.nz"]],"and"],[[["field40","equal_to","Freight"]],[["email_to",null,"andrew@fil-nz.co.nz"]],"and"],[[["field40","equal_to","Workshop"]],[["email_to",null,"info@storefloornz.co.nz"]],"and"],[[["field3","equal_to","Auckland"]],[["email_to",null,"james.hastings-rose@fil-nz.co.nz"],["email_to",null,"rebecca@fil-nz.co.nz"]],"and"],[[["field37","equal_to","Yes"]],[["email_to",null,"info@storefloornz.co.nz"]],"and"],[[["field36","equal_to","Yes"]],[["email_to",null,"info@storefloornz.co.nz"]],"and"],[[["field4","equal_to","Workshop"]],[["email_to",null,"info@storefloornz.co.nz"]],"and"],[[["field4","equal_to","Freight"]],[["email_to",null,"andrew@fil-nz.co.nz"]],"and"],[[["field4","equal_to","Installations"]],[["email_to",null,"dwayne@fil-nz.co.nz"]],"and"],[[["field4","equal_to","Relocations"],["field3","equal_to","Wellington"]],[["email_to",null,"tevita@fil-nz.co.nz"]],"and"],[[["field44","equal_to","I am a staff member at FIL"]],[["hide_fields","field46,field47"]],"and"],[[["field44","equal_to","I am a client of FIL"]],[["hide_fields","field26,field39,field40,field28,field29,field30,field31,field35,field34,field33,field36,field37,field32"]],"and"],[[["field44","equal_to","I am a client of FIL"]],[["show_fields","field47"]],"and"],[[["field44","equal_to","I am a client of FIL"]],[["email_to",null,"[FIELD9]"]],"and"],[[["field44","equal_to","I am a client of FIL"]],[["show_fields","field9"]],"and"],[[["field44","equal_to","I am a staff member at FIL"]],[["show_fields","field51"]],"and"],[[["field3","equal_to","Wellington"],["field4","equal_to","Installations"]],[["email_to",null,"Tevita@fil-nz.co.nz"]],"and"]]
1 Step 1
Please choose one of the following options.
Your nameyour full name
Other Location Name
Type of Service Requiredyour full name
Other Service Type
Company Name
Site Contact
Phone Number
Site Address
0 /
Different billing address?
Billing Address
0 /
Work Description
0 /
Date and Time Required
Suggested timeof appointment
Purchase Order Number
Invoice Summary
0 /
Quoted Price $
Site Visit / Meeting Required?
Site Visit Date and Timeof appointment
Site visit timeof appointment
Is a site visit or meeting required?
Materials Required?
List of Materials Required
0 /
Truck Required?
Storage Required?
Photos Required?
File Upload
File Upload
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