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Astor CTX Wall Pad
Warranty Registration | Astor Bannerman
To ensure the manufacturer’s warranty on your equipment is 100% validated, please complete the form.
Phone
This field is for validation purposes and should be left unchanged.
About You
Full Name
(Required)
Title
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Title
First
Last
Mobile Number
(Required)
Landline Number
Email
(Required)
Enter Email
Confirm Email
The Equipment
Equipment Serial Number
(Required)
Other Serial Numbers
Where is the equipment located?
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Country
Afghanistan
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Korea, Republic of
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Country
Repair Authorisation
For chargeable repairs, who is responsible for authorising and paying for the works?
As above
Seperate Organisation
Organisation name
Contact Name
First
Last
Contact Number
Email
Are you authorised to instruct Astor Bannerman to carry out chargeable works?
Yes
No
If the cost of parts are under £50.00 +VAT
Authorised to proceed
Please provide a quotation
If the cost of parts are over £50.00 + VAT
Authorised to proceed
Please provide a quotation
To proceed with repairs is a Purchase Order required?
Yes
No
If parts are over £50.00 + VAT
Astor Bannerman will not pass your information on to any third party unless required to do so by law or it is essential for the implementation of a service contract or warranty callout. Astor Bannerman will always try to contact you in the unlikely event that a safety issue is identified with your equipment.
Thank you for taking the time to update our service contracts contact details. Would you be intrested in completing a short Customer Satisfaction survey? Your feedback would be greatly appreciated.
Yes
No
How satisfied are you with the standard of service you received from Astor Bannerman Medical Ltd.
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
How responsive were Astor Bannerman Medical staff to your enquiries?
Very Responsive
Responsive
Neutral
Unresponsive
Very Unresponsive
How polite and helpful were Astor Bannerman Medical Ltd's engineers?
Very Polite & Helpful
Polite & Helpful
Neutral
Unpolite & Unhelpful
Very Unpolite & Unhelpful
What changes can you suggest for Astor Bannerman Medical Ltd to improve its customer service?
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