Service Request for PSA branded products

Name*

Address 1*

Address 2

City

Post Code*

State*
---Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

Mobile Phone*

Email*

Product to be service (brand and model)*

Description of fault*

Number of items*

Purchase or installation date (DD/MM/YYYY)*

Installer Details

Additional Comments

By submitting this Service Request form, you agree the following conditions: *

The product is a PSA branded product, and that if no fault is found with the product, or not within warranty period, or not properly maintained according to the manual, you may be charged by the service agent for time, parts and labour.