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"]],[["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
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Other Location Name
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Type of Service Requiredyour full name
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Other Service Type
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Company Name
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Site Contact
no-icon
Phone Number
icon-phone
Site Address
0 /
Different billing address?
Billing Address
0 /
Work Description
0 /
Date and Time Required
date_range
Suggested timeof appointment
access_time
Purchase Order Number
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Invoice Summary
0 /
Quoted Price $
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Site Visit / Meeting Required?
Site Visit Date and Timeof appointment
date_range
Site visit timeof appointment
access_time
Is a site visit or meeting required?
Materials Required?
List of Materials Required
0 /
Truck Required?
Storage Required?
Photos Required?
File Upload
cloud_uploadFile Upload
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