Maintenance Price Request Form

Please provide us with details on your UPS

Manufacturer:

Model No.

Serial No.

UPS age: (years)

Last service: (dd/mm/yy)

Battery age: (years)

Last change: (dd/mm/yy)

UPS kVA:

UPS kW:

Runtime: (minutes)

Please check the boxes that apply:

The UPS has an external maintenance bypass
The UPS has an external battery pack
The UPS is supported on mains failure by an external generator
The UPS is monitored remotely using UPS monitoring software

Please check the cover required:

Next working day response plan (Silver)
Same working day response plan (Gold)
24/7 Response plan (Platinum)
Remote monitoring (TeleGuard)

Your contact details

Forename:

Surname:

Email:

Telephone:

Job title:

Fax:

Company:

Website:

Address:

Town:

County:

Postcode:

Country:

Comments: