AGE Information Pte Ltd
Request Form
Request Service Form Request Service Form Request Service Form
Printer Computer
Request Service Form: Printer
General Information
Full Name :
Phone Number :
Fax Number :
Email :
Address :
Zip :

Request Service Information
Type of Service :
Service
Maintenance
Install
Others
Warranty Status :
In-warranty (attach proof)
Out of Warranty
Service Call :s
Carry-In
On-Site
Billable
Nature of Complaint :
Paper Jam
Dirty Print Out
Noisy
Software Error
Others
Diagnostic For Faulty Parts :
Onsite
Workshop
Input & Output Assy
Fuser Unit
Scanner Unit
Toner Cartridge
Rollers
MP & Cassette Tray
Pad
Other
Additional Instruction :


Request Service Form: Computer
General Information
Full Name :
Phone Number :
Fax Number :
Email :
Address :
Zip :

Request Service Information
Encountered Hardware Problems :
Encountered Software Problems :
Additional Instruction :


Cartridge Order Form
General Information
Full Name :
Phone Number :
Fax Number :
Email :
Address :
Zip :

Cartridge Order Information
Type of Cartridge :
Printer Model :
Color :
Quantity :
Additional Instruction :


Hp Maintenance Kit and Fuser Assembly Form
General Information
Full Name :
Phone Number :
Fax Number :
Email :
Address :
Zip :

Maintenance Kit and Fuser Assembly Information
Maintenance Kits :
Printer Model :
Quantity :
Additional Instruction :