Scribd Logo
Upload

Welcome to Scribd!

  • MC Repairs Repair Form

    Uploaded by

    boosterhorn
    6 views1 page
    The document is a repairs order form for a company called MC Repairs. It requests customer details such as name, address, phone number and accounts email. It also has sections to provide details of up to four handpieces needing repair, including make, model and serial number. The form offers options to provide a quotation by telephone, email or text and allows the customer to authorize automatic repairs up to three price points. It also includes a decontamination declaration to be signed by a dentist.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document is a repairs order form for a company called MC Repairs. It requests customer details such as name, address, phone number and accounts email. It also has sections to provide details of up to four handpieces needing repair, including make, model and serial number. The form offers options to provide a quotation by telephone, email or text and allows the customer to authorize automatic repairs up to three price points. It also includes a decontamination declaration to be signed by a dentist.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    MC Repairs Repair Form

    Uploaded by

    boosterhorn
    The document is a repairs order form for a company called MC Repairs. It requests customer details such as name, address, phone number and accounts email. It also has sections to provide details of up to four handpieces needing repair, including make, model and serial number. The form offers options to provide a quotation by telephone, email or text and allows the customer to authorize automatic repairs up to three price points. It also includes a decontamination declaration to be signed by a dentist.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    1 Avroe Crescent

    The Pavilions, Blackpool


    Lancashire, FY4 2DP

    t: 01253 404774
    e: repairs@mcrepairs.co.uk
    w: www.mcrepairs.co.uk

    Repairs Order Form


    Customer Details:

    Name:
    Address:
    Postcode:
    Tel No:
    Accounts Email:

    Handpiece Details

    Make Model Serial No. Repair Required

    We always provide quotations by telephone, if you would prefer an email, text quotation or for us to
    just continue with the handpiece repair please complete below

    Email: Automatic Repairs


    (excludes VAT & delivery)
    Text:
    £34.95
    Name:
    Signed: £64.95
    Date: Under £99.00

    Decontamination Declaration

    I certify that all the items contained within this package


    have been sterilised by autoclave.

    Signed by Dentist:
    Print: Date:

    You might also like