Name
Address
Post Code
Phone
Email Address

Appliance
Make & Colour
 Model Number
 Serial Number
 Product Number
 Free Standing Y/N
 Built In           Y/N
 Built Under     Y/N
 Integrated       Y/N
 Semi-Integrated Y/N
An email will be sent to you confirming your service request.
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Green & Burton Services
OPENING TIMES
 Mon. to Fri. 9am - 5.30pm     Sat. 9am - 12noon
 Answer phone or Email outside normal working hours.
Amica Page 1
Amica Page 1
TO BOOK YOUR SERVICE CALL ONLINE PLEASE FILL IN THE FORM BELOW. Please complete all areas if possible & also Type (Service Call) after your name.
If the appliance is at a different address please include that address..
 Address
 Post Code
 Contact Phone No.
Call Date Requested
Please help by giving as much information about the fault with your appliance in the Box below.
Please allow 4 days from completion of this form excluding weekends & Bank holidays.
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