Reference number: Equipment Service/Repair Form

64, Ta’Gidwet Street, Marsaskala MSK3615, Malta

Tel. +356 21633164, +356 79697709

Email. service@salpasub.com

Date:	Click here to enter a date.

Full name:	Enter full name

Contact number:	Enter contact numbe

Email address:	Your email address

Home address:	Mailing address including street number and postcode

Product type: Choose product type

Brand:	Enter brand/s

Service required: Describe service needed, type of fault, what needs to be repaired

Serial numbers (if applicable): Enter serial numbers

Other notes:

Add picture if required:

Fill in this form and email to service@salpasub.com

A quote and more details will be sent back to you. Terms and conditions apply. Thank you!