Service Plan Request Form

Peace Of Mind, For Longer

Pick the perfect Service Plan to suit your needs the most. Whether you're looking for a short-term solution or long-lasting, comprehensive coverage, we have options to fit your requirements.

It’s important that we gather a few details to help process your Service Plan request as fast as possible. Please complete the Service Plan Request Form below and a team member will be in touch shortly.

Your Details:

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address:

Daytime Telephone Number:

I'd like to discuss a Service Plan by:

Email

Phone

I'd like to book an in person appointment

Are you an existing customer of Elite Services Group?

Yes

No

If YES, please provide the additional information required below:

Date of installation:

MM

DD

YYYY

Date of last service:

MM

DD

YYYY

If the installed system is of a certain age, and you are wanting to purchase more than a 1-year Service Plan, Elite Service Group will have to complete a Pre-Service Plan Inspection to on board the equipment/system.

Please select a Service Plan:

Equipment manufacturer/brand

Equipment model number

Describe the current condition of your equipment:

Fully operational

Non-operational

Operational but faulty

If you selected 'Operational but faulty', please provide a detailed description of the fault.

Where did you hear about Elite?

Please tell us where you heard about Elite.

*Terms and Conditions apply. For more information, please read our full Service Plan Terms and Conditions: www.elitesg.co.uk/service-plan-terms-and-conditions.