Service Request Form

At OpeMed we pride ourselves on offering comprehensive service packages over and above our Manufacture Warranty. With flexible support from a one off service through to a 5 year service agreement, we can help ensure your equipment is supported for years to come.

    Your Name*

    Your Email*

    Your Telephone Number*

    Your Address

    What equipment requires servicing? (required)

    Please provide serial numbers for each item requiring a service (required)

    Installation date

    Please specify which company installed and provided the equipment

    Date of previous service

    Service term of interest
    6 Month LOLERCall-Out - Warranty / Non - WarrantySingle Service Plan1 Year Service Agreement (Hoist / Other)3 Year Service Agreement (Hoist / Other)5 Year Service Agreement (Hoist / Other)

    Service Request Form