Equipment verification booking form

1Customer details

2The equipment

3Date and time

Full name*

Email address*

Phone number*

Location of equipment*

Is the equipment:*

New or newly installed

Recently repaired

Just needs to be checked

Other

Make and/or model of equipment*

Description of the equipment*

For example, small scales, petrol pump, weighbridge, weights, bulk fuel tanker.

Certificate/declaration of conformity number*

Usually found on the data plate on the machine/vehicle.

Maximum capacity - if known (optional)

mg/g/kg/l

Scale division - if known (optional)

Preferred date of appointment*

Preferred time of appointment*

Security check

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This field is for validation purposes and should be left unchanged.

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"*" indicates required fields

Name

First Last

Please only enter a contact e-mail address if you would like to receive feedback on your submission.

What you were doing*

What went wrong*

Security check

Name

This field is for validation purposes and should be left unchanged.