Service Booking Form

A printable form to share with customers. Fill it in by hand with a pen.

Back to Booking

BUG-X LABS

Service Booking Form

Please complete this form in block letters and bring it to your appointment.

1. Personal Information

First Name

Last Name

Email Address

Phone / WhatsApp Number

2. Bike Details

Bike Model

Serial Number (if available)

3. Service Required (tick one)

General Repair

Consultation / Inspection

Scheduled Maintenance

Other (describe below)

4. Describe the Issue

5. Preferred Appointment

Preferred Location (Abuja HQ / Kano)

Preferred Date

Preferred Time

Bike Photo Reference (if any)

6. Additional Notes

Customer Signature

Date

Service Deposit: A minimum of N5,000 is required

To confirm your booking, please pay a non-refundable deposit of at least NGN 5,000 into the Bug-X Labs official account below. Keep your payment receipt/reference and present it when you arrive for your appointment.

BUG-X LABS LIMITED

Bank

UBA Bank

Account Number (NGN)

1027970790

Account Number (USD)

3004731448

Payment Reference / Upload Receipt No.

For assistance: info@bugxlabs.com | +234 (0) 703 720 1484

bugxlabs.com/book-a-service