Contact Details

Name(Required)

First Last

Address(Required)

Street Address Suburb State Postcode Country

Email(Required)

Phone(Required)

Property Details

Roof Height(Required)

1 (single-storey)

2 (double-storey)

3 or more

Roof Pitch(Required)

Flat

Standard

Steep

Roof Material

Is there access to the property anytime?

Yes

System Details

Is it a Supreme Heating System? (please choose)(Required)

System Type (please choose)(Required)

Further Details & Attachments

Description

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Service Charges

In the instance that works are not covered under warranty, the service technician will determine on-site of any applicable charges. The Standard Service Call Fee is $250 plus parts and labour (charged per hour in 15 min blocks). Extra travel charges may apply for regional areas. Any materials required are price on application. Payment in the form of COD or credit card details (provided in person or via phone) must be arranged prior to the commencement of any work.

Would you like a site visit?(Required)

Yes

Confirmation(Required)

I understand that this form is a request only and that my service is not guaranteed until I receive confirmation from a Supreme Heating representative

I understand and accept the service fee structure

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