Order of Acceptance

Step 1. Accept Your Order
Step 2. Pay by Fax or Phone

I / we authorize for work to be carried out at the agreed hourly, half hourly or fixed rate of:

* (Enter the agreed rate in one of the boxes below)

Hourly Rate: + VAT
Half Hourly Rate: + VAT
Fixed Rate: + VAT

Full Name:*
or
Company Name:

Number:*
E-Mail:*
Full Address:*
Job Address:

Billing/Invoice Address:

Your Enquiry:
Further Instructions:
Digital Signature:*
Date (DD/MM/YY):*
(We request you type your name and date in the digital signature box. This will be deemed the same as an actual signature for acceptance of work.)

I/We have read and understand the terms and conditions and request for an engineer to visit the address above to carry out the necessary work.

We welcome all comments in our customer satisfaction survey, so that our services can be improved upon. And if you fill in our survey you will receive a voucher £10.00 for when you next use our services.

London..................	020 7000 3196
Luton.....................	01234 909 977
Watford...............	01923 391 540
Milton Keynes....	01234 909 977


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