Maintenance Request Form for Lekon Machinery

Customer Information:

• Name:
• Company Name:
• Contact Number:
• Email Address:
• Address of Equipment Location:

Machine Details:

• Machine Model:
• Serial Number:
• Purchase Date:
• Installation Date:
• Last Maintenance Performed:

Request Details:

• Type of Maintenance: Regular Service / Repair / Inspection
• Description of the Issue:
  (e.g., unusual noise, reduced performance, error codes, etc.)
• Urgency: High / Medium / Low

Preferred Service Date:
(Provide at least two options.)

Additional Comments or Requests:

Please fill out the above details and send the form to our Customer Support Team at [Insert Email Address] or call us at [Insert Phone Number]. Our team will review your request and contact you promptly to schedule the service.

Thank you for choosing Lekon for your machinery needs!