Engineer Request

Please complete this form to request a visit from your local Coca‑Cola vending machine representative. We will telephone you to arrange a mutually convenient time.

Please complete the following information:

All fields denoted with an asterix * are mandatory

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Machine Details and Fault Description Machine type *
Outlet/machine number *
Fault description *

Outlet Details

Please provide details of the outlet where the machine is located

Outlet name *
Outlet address line 1 *
Outlet address line 2
Outlet town/city *
Outlet postcode *
Location of the machine on the site *
Site contact name *

Outlet Access / Opening Hours Weekdays *
Saturday *
Sunday *

Customer Details Customer name *
Email Address *
Telephone number *

Customer Contact Address Contact Address line 1 *
Contact Address line 2
Town / City *
Postcode *

Terms Of Use and Privacy

Coca Cola Enterprises will hold the details entered on this form for the purposes of processing your service request only.

I have read and understood the Terms of use and Privacy Policy of this website *

I authorise Coca-Cola Enterprises to hold my details in accordance with the Privacy policy *

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Coca-Cola Enterprises Registered Office: Charter Place, Uxbridge, Middlesex UB8 1EZ in England, number 27173.
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