A National and International service supplying the
FlackTek™ SpeedMixer™
Supporting a full range of Mixing and Dispensing Products.

Cartridge and syringe mixing

Service request

Please use this form to contact us for service enquiries or
Email SpeedMixer@FlackTek.net

Customer Service Response Form
To help us give a better response to your enquiry please answer the following questions:
Question 1	Please select the type of machine/s to be serviced:
service DAC150 service DAC250 service DAC400 service DAC600 service DAC800 service DAC1100 service DAC3000 service DAC5000
Question 2	Your SpeedMixer serial number/s
	A serial number is required... If you can't find the number, type unknown and we will resolve this later.
Question 3	Please select type of service:
Urgent Repair Annual Service General service Parts fitting / repairs
Details or reason for the service request, plus any other questions:
Exceeded maximum number of 300 characters.
Your details
Company	A company name is required.	® required
Name	Your name is required.	® required
Email	An email address is require Invalid format.	® required
Additional contact details
Country	Please select your location.	® required
Phone	A contact number is required. Invalid format.	® required

Verify	Please type the verification number into the next box ®
	Verification number is required. The values don't match.®

Customer Service Response Form