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Work Request
Sophia Currie
2022-11-14T10:06:23+13:00
CLIENT WORK REQUEST FORM
1
Step 1
Your name
your full name
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Location
Location (Select One)
Wellington
Auckland
Christchurch
Other Location
Other Location Name
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Service
Service (Select One)
Installations
Relocations
Freight
Storage
Workshop
Other Service
Type of Service Required
your full name
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Other Service Type
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Company Name
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Site Contact
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Phone Number
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Contact Email Address (This gets sent an auto email summary)
email
Site Address
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Different billing address?
Yes
No
Billing Address
0
/
Billing Email
email
Work Description
0
/
Date and Time Required
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Suggested time
of appointment
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access_time
Purchase Order Number
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Is a site visit or meeting required?
Yes
No
File Upload
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File Upload
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