Your Details First name * Last name * Email * Phone * Company (optional) Preferred contact * SelectEmailPhoneEither Return / Billing Address Address line 1 * Address line 2 Town/City * County Postcode / Eircode * Country * SelectUnited KingdomIrelandOther Collection Address Please complete the collection address details. Also, please indicate if there is a concierge available at the property (for multi-tenant buildings) Address line 1 * Address line 2 Town/City * County Postcode / Eircode * Country * SelectUnited KingdomIrelandOther Projector Details Brand * SelectSonyEpsonPanasonicOther Model * Serial number Lamp hours (if applicable) Error code / blink count When does it occur? SelectOn startupDuring useRandomlyOther Describe the symptoms Attach photos (up to 5, JPG/PNG/WebP/PDF, max 10 MB each) Photos of the install and any error lights help us validate environment causes quickly. Logistics & Preferences Do you have packaging? * SelectYesNo Insurance value (£) Preferred collection date Time window Any0.9:00-12:0012:00-15:0015:00-18:00 Anything else we should know? Security: this form uses a hidden honeypot, size/type checks on uploads, and a CSRF token (server‑injected). Final validation occurs on our server before anything is stored. Consent & Submit I consent to Wells Electronics processing my details to arrange collection and provide a quotation. (Required) I accept the Terms and Conditions of Service and confirm I am the owner/agent for this projector. (Required)