Service Proposal Date Technician Customer Contact Name Phone Email Fax Type of Equipment? Manufacturer M# S# Parts Supplier Contact Name Description of Part or parts Cost Description of Part or parts 2 Cost 2 Description of Part or parts 3 Cost 3 Description of Part or parts 4 Cost 4 Description of Part or parts 5 Cost 5 Description of Part or parts 6 Cost 6 Description of Part or parts 7 Cost 7 Additional Materials Cost Additional Materials 1 Cost 1 Additional Materials 2 Cost 2 Additional Materials 3 Cost 3 ? Reclaim Evacuation Nitrogen Gas/soilder Crane 50 Crane 75 Crane 150 How many techs? How many hours? Proposal job description Is the unit working at all Yes No Urgency of repair 1 2 3 4 5 6 7 8 9 10 Reason for repairs What are the consequences if repair is not done?