Appliance Online Booking

* ..:: PLEASE NOTE ::.. *

The information that you submit here will not be given out, sold or traded. Your information is 100% safe. By submitting this form you accept the callout fee charge of R500.00

Booking form

Name *Name and Surname please.
Cell (no spacing between numbers) *
Email *This is required for information confirmation.
Address *Full physical address please. If we can't find the provided address, we don't get to you on time.
Appliance Type *
Appliance Type (other)
Appliance Make *
Appliance Make (other)
Appliance Fault(s) *
Second Appliance Type
Second Appliance Type (other)
Second Appliance Make
Second Appliance Make (other)
Second Appliance Fault(s)

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

***By making a booking you accept the call-out fee of R500.00.***

Booking form

Verification

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