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Intake form
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Name
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Email address
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What type of service do you require?
Please select at least one option.
Electrical systems maintenance
PLC fault finding
Hydraulics services
Pneumatics services
Drive systems maintenance
Rewiring services
Welding services
General millwright work
What is your preferred method of contact?
Select
Phone
Email
In-person
What is the urgency of your request?
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Immediate
Within the week
Flexible
Please provide the location of your facility.
What is the size of your facility?
Select
Small (1-50 employees)
Medium (51-200 employees)
Large (201+ employees)
What is the best time to reach you?
Which service or services are you interested in?
Please select at least one option.
Electrical systems maintenance
PLC fault finding
Hydraulics and pneumatics services
Maintenance and breakdown repair services
Packing, strapping and factory line installation, maintenance and repairs
Welding services
Additional questions or comments
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