Job No.    BL016068 
SERVICE REQUEST FORM
Job Details
*Submitted By: Staff Name:
Customer Details
*Name:
(first name) (last name)
*Home Ph:
*Address: Work Ph:
  Home Fax:
  Notify Exceeds: $ Inc GST
Email:    
Faulty Unit Details
Re-service  Phone within warranty period (proof of purchase attached)
*Make: *Model:
*IMEI:    
Accessories: Battery   Charger   Memory Card   Other:
Fault Checklist
  Phone Unlock / MMC Unlock      
  Security lock Country lock Memory card lock  
  General Issues      
  Phone turns on but does not work properly Cosmetic damage WAP not working SIM errors appear
  Water damage Some buttons don't work properly Video Streaming not working Slide/Flip damage
  3G Features not supported      
  Display      
  Display goes bland while phone is still on Display sometimes fades Parts of the LCD are damaged or not working
  Power      
  Battery is not charging properly Phone won't turn on/off Loose battery Phone sometimes turns off for no reason
  Making & Receiving Calls or Text
  Can't send txt/MMS messages Phone won't receive inbound call Not receiving txt/MMS message Phone won't make outbound call
  Phone drops calls Reception is much worse than usual Phone doesn't detect network Poor call quality
  Sounds      
  Keypad tones don't work Not ring but can see incoming calls Can't adjust the speaker volume not ringing properly
  Very bad sound quality with earpiece Bad sound quality with handsfree Can't hear the other person at all Other person can't hear me at all
  Other info (include details of any intermittent faults from above)
 
         
Loan Equipment (if applicable)
Handset Make: Handset Model:
Deposit taken: IMEI
Battery Charger Other:
Inspection Fee

The inspection fee of $25 including GST must be pay in advance for inspection toward the following damage:

•  Dead phones
•  Cosmetic Damage
•  Water Damage
•  Failure or defects caused by misuse, abuse, accident, physical damage, abnormal operation, improper handling or storage, neglect, alternation, removal or repairs, failure to follow instructions, exposure to fire, liquid, food.

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