SERVICE REQUEST | LMWA

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LMWA Service Request

Business Name

Business Email

Code

Phone

Product Description (e.g. Prisma 20A)

Serial Number

Machine Type

Reason for Return

Address for service/courier pick up

Preferred day/times for service/courier pick up and any instructions for courier

Note for repairs outside of warranty an $85 fee applies if the quote to repair is not accepted. Additionally any invalid returns will incur a $85 fee.

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© 2025 by Lynch Medical Western Australia (ABN: 42 666 016 806)

4/16 Laurence Rd, Walliston WA 6076

Tel: 0400 412 411

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