Repair order form

You have a pump accident? We also come to you.
Send us your pump repair request directly via our repair registration form or the contact form!

Phone
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1. Your contact details
Company
Contact person*
E-Mail*
Phone
Fax
2. Adress
Address*
Street, House number City State / Province / Region ZIP / Postal Code Country
Pick-up address
- Pick-up address, if different from the above named customer
Contact person*
Pick-up address*
Street, House number City State / Province / Region ZIP / Postal Code Country
3. Information about the affected pump
(Always flush and empty pumps)
Affected Pumps*
Pump type Pump number Producer
Remark / Note / Damage description*
pumped medium*
Attention: Pumps Pump must be delivered cleaned and emptied!
Requested delivery date
DD dot MM dot YYYY
Number of pallets
Weight in kg
4. Our free pick up service Austria
(after consultation removal or installation service)
Our service*
- Pick up and cost estimation
- Pick up and immediate repair
Additional information
Consent*
- By submitting the request, I accept the privacy policy.
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LinkedIn
This field is for validation purposes and should be left unchanged.
Contact person
Company
E-Mail
City
Country
Message
Consent*
- TUMA Pumps uses the provided information only for contact purposes, for details please refer to our Privacy Policy.
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