Service Request Form 2017-08-04T20:12:08+00:00

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