book-service

Are you on a contract with Omni Group? *

YesNo

Company *

Account Number: *

Phone *

Contact Name *

Address *

Street address *

City *

State *

Postcode *

Location Type *

Machine Type *

Serial Number # *

Reason to service/repair *

Broken downWorking but not properlyGeneral Service

Hours of Operation: *Please specify best hours for us to attend site.

Comments

Payment Options *

Payment: *

We will charge your card at a later date after your service has been performed and confirmed costs. A $1.00 hold will be put on your card until we finalise payment.