Please complete all of the relevant fields below for customer support. Any queries please call 011 787 0310 or mail
telsaf@telsafdata.co.za
Mandatory Fields *
*
Company
Division
*
Address:
*
Contact
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Telephone
Cellular
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Email
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Equipment Type:
Select One:
Wireless
Networking
Modem
Other
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Service Required
Select One:
Field Callout
Repair
*
Description:
Location of Equipment:
Date of Fault:
Time of Fault:
Order No:
