Name
Address
Post Code
Phone
Email Address

Appliance
Make
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.
Green & Burton Services
OPENING TIMES
Mon. to Fri. 9am - 5.30pm     Sat. 9am - 12noon
Answer phone or Email outside normal working hours.
To receive updates on the latest offers please enter your Name,
Email & Post Code below. Please also Type (EMAIL LIST) after your name.
Calendar
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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.

Amica Page 1
Calendar
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