[ultimatemember form_id=”9901″]
Name
Address
Phone
Service —Please choose an option—YesNo
Service / Complete —Please choose an option—ServiceCompleteInstallationRoutine serviceOther:
Comment
Installation Date
warranty activation
Email
Portal —Please choose an option—AmazonFlipkartShopcluesSnapdealOther:
Order Number
Service Type —Please choose an option—ServiceInstallation
State
City
Add QR Code By Technician —Please choose an option—YESNO
