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Courts - Water Heater Installer
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Questions marked
*
are required
Brand of water heater
*
Panasonic
Joven
Rubine
Centon
Feber
Sharp
Others (Explain in notes below)
Type of installation
*
Install only
Install with casing and 10 feet wire
How many water heater do you need installation?
*
How many water heater do you need to dismantling? (Optional)
Sales Order Number
Staff Name
Product Code 1
Product Code 2
Product Code 3
Product Code 4
Store Type
Courts
Nojima
Preferred Appointment Date
*
Preferred Appointment Time
*
Morning (09:00 - 11:00)
Lunch Time (11:00 - 13:00)
Early Afternoon (13:00 - 15:00)
Late Afternoon (15:00 - 17:00)
Alternative Appointment Date (Optional)
Alternative Appointment Time (Optional)
Morning (09:00 - 11:00)
Lunch Time (11:00 - 13:00)
Early Afternoon (13:00 - 15:00)
Late Afternoon (15:00 - 17:00)
Notes:
Share any other details to our Pros
Let us know the water heater number and how many units
You can put the alternative phone number below in
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Contact & Location details
*
First Name
*
Last Name
*
Email
*
Phone Number
Your Phone Number will be shared to our Service Provider so they are able to contact you easily
*
State
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Johor
Kedah
Kelantan
Kuala Lumpur
Melaka
Negeri Sembilan
Pahang
Penang
Perak
Perlis
Sabah
Sarawak
Selangor
Terengganu
*
Area
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*
Address
Confirmation
Appointment Date/Time & Contact Detail
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(Alternative)
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Payment Method
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Estimate Price
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