Customer services Form

Your name

Your email

Phone

Vehicle Registration

Vehicle Make & Model

Service Date

How much wrong fuel?

Was the vehicle started with wrong fuel in?
StartedNot Started

Was the vehicle driven with wrong fuel in?
DrivenNot Driven

If yes to either of the above, how long was the engine run?

What adverse symptoms did you notice after putting in the wrong fuel?

How much did you pay Fuel Fixer for the fuel drain service?

Did you receive and sign a Fuel Fixer receipt / invoice?
YesNo

What about the service are you dissatisfied with (select all applicable)?
Call HandlingResponse TimeOur TechnicianOther

Please describe what you were dissatisfied with and how you would like it resolved