web.gavscan.co.za Open in urlscan Pro
156.38.129.194  Public Scan

Form analysis
2 forms found in the DOM

POST /index.php/contact-us/#wpcf7-f194-p23-o1

<form action="/index.php/contact-us/#wpcf7-f194-p23-o1" method="post" class="wpcf7-form init" novalidate="novalidate" data-status="init">
  <div style="display: none;">
    <input type="hidden" name="_wpcf7" value="194">
    <input type="hidden" name="_wpcf7_version" value="5.4.1">
    <input type="hidden" name="_wpcf7_locale" value="en_US">
    <input type="hidden" name="_wpcf7_unit_tag" value="wpcf7-f194-p23-o1">
    <input type="hidden" name="_wpcf7_container_post" value="23">
    <input type="hidden" name="_wpcf7_posted_data_hash" value="">
  </div>
  <p>Customer details: <span class="wpcf7-form-control-wrap text-308"><input type="text" name="text-308" value="" size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false"></span></p>
  <p>Parent Ticket Number: <span class="wpcf7-form-control-wrap text-TicketNum"><input type="text" name="text-TicketNum" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true"
        aria-invalid="false"></span><br> Account name: <span class="wpcf7-form-control-wrap text-accName"><input type="text" name="text-accName" value="" size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false"></span><br> Account Number:
    <span class="wpcf7-form-control-wrap text-accNum"><input type="text" name="text-accNum" value="" size="40" class="wpcf7-form-control wpcf7-text" aria-invalid="false"></span><br> Contacts details: <span
      class="wpcf7-form-control-wrap tel-contact"><input type="tel" name="tel-contact" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel" aria-required="true"
        aria-invalid="false"></span></p>
  <p><span class="wpcf7-form-control-wrap menu-tech"><select name="menu-tech" class="wpcf7-form-control wpcf7-select wpcf7-validates-as-required" aria-required="true" aria-invalid="false">
        <option value="Anny Opperman">Anny Opperman</option>
        <option value="Gareth Sheldon">Gareth Sheldon</option>
        <option value="Martin Van Rooyen">Martin Van Rooyen</option>
        <option value="Anton Lombard">Anton Lombard</option>
        <option value="Loyiso Mdingi">Loyiso Mdingi</option>
        <option value="Tallis Hurly">Tallis Hurly</option>
      </select></span></p>
  <p>Details of item booked in ? <span class="wpcf7-form-control-wrap radio-details"><span class="wpcf7-form-control wpcf7-radio"><span class="wpcf7-list-item first"><input type="radio" name="radio-details" value="Repair" checked="checked"><span
            class="wpcf7-list-item-label">Repair</span></span><span class="wpcf7-list-item"><input type="radio" name="radio-details" value="Service"><span class="wpcf7-list-item-label">Service</span></span><span class="wpcf7-list-item last"><input
            type="radio" name="radio-details" value="Upgrade"><span class="wpcf7-list-item-label">Upgrade</span></span></span></span></p>
  <p>Make/model: <span class="wpcf7-form-control-wrap text-makemodel"><input type="text" name="text-makemodel" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"></span><br>
    Serial Number: <span class="wpcf7-form-control-wrap text-serial"><input type="text" name="text-serial" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"></span><br>
    Windows Password: <span class="wpcf7-form-control-wrap text-WinPass"><input type="text" name="text-WinPass" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"></span><br>
    Accessories: <span class="wpcf7-form-control-wrap text-Acces"><input type="text" name="text-Acces" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"></span></p>
  <p>Fault: <span class="wpcf7-form-control-wrap text-fault"><input type="text" name="text-fault" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"></span></p>
  <p>Condition of unit: <span class="wpcf7-form-control-wrap text-unitCon"><input type="text" name="text-unitCon" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"></span>
  </p>
  <p>Manager's name: <span class="wpcf7-form-control-wrap text-Manager"><input type="text" name="text-Manager" value="" size="40" class="wpcf7-form-control wpcf7-text wpcf7-validates-as-required" aria-required="true" aria-invalid="false"></span></p>
  <p>Today's date: <span class="wpcf7-form-control-wrap date-847"><input type="date" name="date-847" value="" class="wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date" aria-required="true" aria-invalid="false"></span>
  </p>
  <p>Photo's Taken?<br>
    <span class="wpcf7-form-control-wrap PhotoTaken"><span class="wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required"><span class="wpcf7-list-item first"><input type="checkbox" name="PhotoTaken[]" value="Yes"><span
            class="wpcf7-list-item-label">Yes</span></span><span class="wpcf7-list-item last"><input type="checkbox" name="PhotoTaken[]" value="No"><span class="wpcf7-list-item-label">No</span></span></span></span>
  </p>
  <p><span class="wpcf7-form-control-wrap upload-file-855"></span></p>
  <div class="codedropz-upload-wrapper"><input type="file" size="40" class="wpcf7-form-control wpcf7-drag-n-drop-file d-none" aria-required="true" aria-invalid="false" multiple="multiple" data-name="upload-file-855" data-limit="150000000"
      data-max="15" data-id="194" accept=".">
    <div class="codedropz-upload-handler">
      <div class="codedropz-upload-container">
        <div class="codedropz-upload-inner">
          <h3>Drag &amp; Drop Files Here</h3><span>or</span>
          <div class="codedropz-btn-wrap"><a class="cd-upload-btn" href="javascript:void(0)">Browse Files</a></div>
        </div>
      </div><span class="dnd-upload-counter"><span>0</span> of 15</span>
    </div>
  </div>
  <p></p>
  <p>Message to Customer </p>
  <p>Please confirm that the condition state of the machine has been documented Gavotech will not be held Responsible for Theft or Damage to units booked in.</p>
  <p>Please make sure that the unit is covered by insurance from the time the unit has been booked in with Gavotech.</p>
  <p>All Units checked into Gavotech for assessment will undergo investigation on our bench and then quoted for repair.</p>
  <p>If the quote is rejected a R500 ex VAT Fee applies as a quote rejection fee, excluding Shipping charges back to you</p>
  <p>Please sign below:</p>
  <p></p>
  <div class="wpcf7-form-control-signature-global-wrap" data-field-id="signature-330">
    <div class="wpcf7-form-control-signature-wrap" style="width:350px;height:200px;">
      <div class="wpcf7-form-control-signature-body">
        <canvas data-background="#FFFFFF" id="wpcf7_signature-330_signature" class="signature-330" width="350" height="200" style="touch-action: none;"></canvas>
      </div>
    </div>
    <div class="wpcf7-form-control-clear-wrap">
      <input id="wpcf7_signature-330_clear" type="button" value="Clear">
    </div>
  </div>
  <span class="wpcf7-form-control-wrap wpcf7-form-control-signature-input-wrap signature-330">
    <input type="hidden" name="signature-330" value="" aria-required="true" aria-invalid="false" id="wpcf7_input_signature-330"><input type="hidden" name="signature-330-attachment" value="" id="wpcf7_input_signature-330_attachment"><input
      type="hidden" name="signature-330-inline" value="" id="wpcf7_input_signature-330_inline">
  </span>
  <br>
  <span class="wpcf7-form-control-wrap acceptance-632"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><input type="checkbox" name="acceptance-632" value="1" aria-invalid="false"></span></span></span> I(customer) agree
  to the above.<p></p>
  <p><span class="wpcf7-form-control-wrap acceptance-471"><span class="wpcf7-form-control wpcf7-acceptance"><span class="wpcf7-list-item"><label><input type="checkbox" name="acceptance-471" value="1" aria-invalid="false"><span
              class="wpcf7-list-item-label">Notice in terms of Protection of Personal Information Act (POPIA) In terms of POPIA we are required to keep your personal information safe, use it only for the intended purpose and delete the information
              when no longer required. By submitting your personal information on our CONTACT US page, you consent to providing us personal information to contact you. Your personal information will be kept secure and will be deleted within 30 days
              of submission. Please read our CUSTOMER PRIVACY NOTICE, which is available on this website, for more information.</span></label></span></span></span></p>
  <p><input type="submit" value="Send" class="wpcf7-form-control wpcf7-submit" disabled=""><span class="ajax-loader"></span></p>
  <div class="wpcf7-response-output" aria-hidden="true"></div>
</form>

GET http://web.gavscan.co.za/

<form role="search" method="get" class="search-form" action="http://web.gavscan.co.za/">
  <label>
    <span class="screen-reader-text">Search for:</span>
    <input type="search" class="search-field" placeholder="Search …" value="" name="s">
  </label>
  <button type="submit" class="search-submit"><span class="screen-reader-text">Search</span></button>
</form>

Text Content

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Gavotech

Online Book-In Sheet


CUSTOMER DETAILS

Customer details:

Parent Ticket Number:
Account name:
Account Number:
Contacts details:

Anny OppermanGareth SheldonMartin Van RooyenAnton LombardLoyiso MdingiTallis
Hurly

Details of item booked in ? RepairServiceUpgrade

Make/model:
Serial Number:
Windows Password:
Accessories:

Fault:

Condition of unit:

Manager's name:

Today's date:

Photo's Taken?
YesNo


DRAG & DROP FILES HERE

or
Browse Files
0 of 15

Message to Customer

Please confirm that the condition state of the machine has been documented
Gavotech will not be held Responsible for Theft or Damage to units booked in.

Please make sure that the unit is covered by insurance from the time the unit
has been booked in with Gavotech.

All Units checked into Gavotech for assessment will undergo investigation on our
bench and then quoted for repair.

If the quote is rejected a R500 ex VAT Fee applies as a quote rejection fee,
excluding Shipping charges back to you

Please sign below:





I(customer) agree to the above.



Notice in terms of Protection of Personal Information Act (POPIA) In terms of
POPIA we are required to keep your personal information safe, use it only for
the intended purpose and delete the information when no longer required. By
submitting your personal information on our CONTACT US page, you consent to
providing us personal information to contact you. Your personal information will
be kept secure and will be deleted within 30 days of submission. Please read our
CUSTOMER PRIVACY NOTICE, which is available on this website, for more
information.




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