Numatic Support Logo Grey+Red

Non Account Holder Request Form

End User Demo and Training

Which Service/s do you require?

Required Service/s *

Request Submission

If you have an upper limit for the value of this service, please leave details in the Additional Information section below

Provisional Date & Time Requirement

Please provide two provisional date’s and time’s for your request:
Date & Time 1:
Training Duration
Time: *
Date & Time 2:
Time: *

Demonstration Details

Please select the machine you require for the demonstration.

Ride On Scrubber Dryers:
Battery Scrubber Dryers:
Mains (Cabled Scrubber Dryers):
Rotary Floor Machines:

Unsure which machine? View the range here (opens in web browser)

Our demonstrators are unable to discuss pricing. It is therefore imperative for a member of your staff to be on hand at the demonstration to discuss arrangements and close the sale.

Please ensure that the site address has secured adequate parking and unloading facilities for our vehicle, for the duration of the visit.

Trainee Candidates

Please leave trainee’s full names for certificate purposes below:

Site/Location of Machine/Breakdown and on-site contact

We can only visit at a UK mainland location. Please provide correct address.
Please give details for who we should call and their contact number when we arrive below.

Machine/Breakdown Details

Please answer all questions accurately and in full.

The voltage information and serial number can be found on the rating sticker of your machine.

You can add up to 4 machines that require attention at the same location. Please supply as much information as possible regarding the fault/s as this will assist us in servicing your machine/s

Unsure which machine? View the range here (opens in new window).

Your serial number will be on the rating label on your machine just below the barcode (Older machines may not have the bar code). It will comprise of 9 digits exactly and will be numerical. Please enter your serial number carefully as we will use this to confirm the details of your machine.

Additional Machines:

Expand this section to add additional machines

Site Access/Parking

Please be accurate with regards to parking details, agents have large machines to unload and manoeuvre with possible tail lift on van.

On site parking available? *
if No please call 01460 269 478 / If Other please specify.
Access for large van? *
If No please specify additional detail or call 01460 269 478.
Security Clearance Needed? *
To assist us in ensuring our engineer does not arrive at an inconvenient time, please give details on any time periods site access would not be granted. For example:
"Mondays - 10.00-12.00"
"Tuesday 20th Sept - 15.00-17.00"

Supporting Documentation

Attach photo’s, correspondence and other below
File Upload

Maximum file size: 128MB

Invoice Address:

End User Terms and Conditions

Price on application

One call-out fee covers work at one site only. Please ensure multiple machines are gathered into one area or a secondary call-out fee may need to be applied.

Our agent can only assess and work on the machines requested.

If the agent cannot park near the site to perform the requested service on the day an aborted charge may apply.

If you require an estimate or any list prices of parts to be fitted, please request these from the engineer.