Repair Service Request Form
Please fill up this form and our technician will contact you shortly for quotation and appointment.

Expected charges are
- $35 for workmanship
- $35 for transportation (if repair at your place)
- Replacement parts (as quoted by our technician via email)

Our service centre address:
35 Pioneer Road North
#02-03
Singapore 628475

Email Address *
Contact Name *
Contact number *
What is your product model?
Model *
Please take a photo of your wheelchair for us to identify the model of your wheelchair.
Required
Warranty Status (if applicable)
Please take a photo of your receipt/invoice/delivery order for us to verify your warranty status as proof of purchase. (if applicable)
Encountered Problem *
Please describe the issue you have encountered.
Encountered Problem (Photo Upload) *
Please upload a photo of the problem encountered
Required
Where do you wish for your item to be repaired? *
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This form was created inside of Bion Advance Pte. Ltd.. - Terms of Service