Book an Engineer

Simply fill in the request form below and submit.

Our Book an Engineer Request form below does not require you to enter any credit card details

You will need to make payment before a date is set for the work. We will be in touch with you to complete the booking and take payment.

Can’t see the form or having trouble filling it in? Try opening this page using Chrome or email justask@northwick.eu with your details

Your Name*
First Last
How did you hear about us?*
Choose from list
Are you a Residential (home) customer or Commercial (business)*
Please select
Business Name*
Address*
Enter the address where the equipment is located

Street Address Address Line 2 Town / City County / District Postal Code
Is the invoicing address the same as above?
Choose NO if you want your receipt to show a different invoicing address (for example, a company head office)
Invoicing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Contact Number*
Enter a home or mobile number if you wish to receive free text confirmation of your appointment date/time
Your Email Address*
Other Contacts for site
Add any other contacts for the site that might be required with their name and contact details
Tell us what you need*
Choose an onsite or remote inspection
- A site visit with test and certification
- A remote test and certification by post
Product Manufacturer*
Enter the manufacturer eg. Zoll, Philips, Cardiac Science...etc
Product model name and serial number*
Enter the model name/number which is usually found on the outer casing and the serial number which is usually located on a small label at the rear
Add extra details here
Add any relevant information to help our engineer or to help us quickly and accurately process your booking.
Upload Files
Add photos or a short movie of the problem if you wish
Drop files here or
Where do you keep the product?*
e.g. behind reception, public lobby, gym, outside wall....
Location, Parking and Access?*
If you are booking an onsite visit, please tell us about the parking for our van and ease of access - add specific directions if you are difficult to find!
Servicing
We think it is important to have your equipment regularly serviced. Please tick the box if you would you like us to contact you when your service is next due (without obligation).
- Yes please
Promotion Code
Enter code in the box below (or leave blank if you do not have a code)
Terms and Conditions*
Tick the box to confirm that you have read, understood and accept our terms and conditions and that you agree with the storage and handling of your data by this website. View here (Opens new window)
- I agree