Technician Request Form

Technician Request Form

I would like to hire a technician to repair
TelevisionMicrowaveWashing MachineHi-FiDVD PlayerOthers

I live in the region of
Port LouisRose HillEbeneQuatre BornesBeau BassinCurepipeOther

All fields are required to be filled in

Customer Information

Name

Surname

Your Address

Phone Number

I would like to be contacted by the staff of School of Electronics.