Family Run Business providing a friendly and professional service to the local community since 1979
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
Apple Electrics Online Booking Form
Please fill in and submit the booking form below a member of our service team will process your booking and
get back to you ASAP. When booking a Service Call on Line please allow a minimum of 48 Hours from today.
I.E. If booking on the Monday please book appointment from Wednesday onwards so we can try our best
 to honour your preferred appointment date.
  
Account Customer*
Yes 
No 
 
If Account Customer - Please Specify Account Name
 
Title*
 
Full Name*
 
Address*
 
Town*
 
County*
 
Postcode*
 
Home Telephone Number*
 
Mobile Telephone Number*
 
Email Address*
 
Type of Call*
Repair 
Installation 
 
Appliance Type*
 
Appliance Make*
 
Model Number
 
Serial Number
 
Special Instructions (If Required)
 
Fault Description*
 
Preferred Appointment Day (Min 48hrs)
 
Preferred Appointment Date (Min 48Hrs)
 
Preferred Appointment Time (Not Guaranteed)
AM (Between 9 - 1pm) 
PM (Between 12 - 5pm) 
Anytime 
 
Image Upload (If Required)