Home Repair Request
Sign in to Google to save your progress. Learn more
Product Model 產品型號 *
Starts with EM-xxxx
Serial Number 產品序號 *
Located on the label of packaging box and on the water heater itself.
可在產品機身或外箱上的透明貼紙找到
If the water heater is installed above the ceiling or if the sticker information is not readable, please copy and fill in the following details: 若熱水器安裝在天花板內、或貼紙上的資訊已模糊，導致無法順利進行維修申請，請複製下列內容填寫：
  • Model/型號：EM-000
  • Serial number/序號：1234567
Name 姓名 *
Phone Number 電話 *
Email *
example@gmail.com
Address 地址 *
Product Issue 產品問題 *
Please specify the issue and we'll get back to you asap:)!
請說明遇到的產品問題，我們將會盡快與你聯繫 :)！
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of ESING.