Maintenance Request

  • First Name *
  • Family Name *
  • Position
  • Company Name
  • Address
  • Tel *
  • Fax
  • E mail
  • Project Name
  • Project Address
  • Type of Bldg
  • Quantity of Lifts
  • Make of Lift
  • Lift Type
  • Drive Type
  • Machine Room location
  • Load / Persons
  • Speed
  • Number of Stops
  • Access
  • Travel Height (m)
  • Door Type
  • Observations and Remarks
  • Captcha Code