Service Request Form
Please fill out
Which location are you visiting?
*
Houston
Dallas
Online
Company Name
*
Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Shipping Address
Street Address
Street Address Line 2
City
Please Select
Alabama
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Ohio
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South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
PO number
Optional
Job Number
Optional
How many pieces of equipment are you needing serviced
*
Please Select
1
2
3
4
5
1st Instrument
Type of Instrument
*
Please Select
Manual Total Station
Robotic Total Station
GPS
Data Collector/Tablet
Automatic Level
Digital Level
Rotating Laser
Pipe Laser
Magnetic Locator
Pipe and Cable Locator
Electronic Theodolite
Transit Level
Other
What is the Make and Model of your equipment?
*
Ex. Sokkia IM-50, Topcon RL-H5A, Leica TS03, Trimble S7 etc.
What is the serial number of your equipment?
*
If not serialized type "none"
Accessories
*
If none type "none"
Take Photo of your equipment and accessories (optional)
Description of problem
*
Do you want a 1-Year Service Certificate for this Unit?
*
Yes ($50)
No
Do you want to add the Rush option? (This moves your instrument ahead of the line for an extra $150. Normal turnaround time is around 2 weeks+)
*
Yes
No
2nd Instrument
Type of Instrument
*
Please Select
Manual Total Station
Robotic Total Station
GPS
Data Collector/Tablet
Automatic Level
Digital Level
Rotating Laser
Pipe Laser
Magnetic Locator
Pipe and Cable Locator
Electronic Theodolite
Transit Level
Other
What is the Make and Model of your equipment?
*
Ex. Sokkia IM-50, Topcon RL-H5A, Leica TS03, Trimble S7 etc.
What is the serial number of your equipment?
*
If not serialized type "none"
Accessories
*
If none type "none"
Take Photo of your equipment and accessories (optional)
Description of problem
*
Do you want a 1-Year Service Certificate for this Unit?
*
Yes ($50)
No
Do you want to add the Rush option? (This moves your instrument ahead of the line for an extra $150. Normal turnaround time is around 2 weeks+)
*
Yes
No
3rd Instrument
Type of Instrument
*
Please Select
Manual Total Station
Robotic Total Station
GPS
Data Collector/Tablet
Automatic Level
Digital Level
Rotating Laser
Pipe Laser
Magnetic Locator
Pipe and Cable Locator
Other
What is the Make and Model of your equipment?
*
Ex. Sokkia IM-50, Topcon RL-H5A, Leica TS03, Trimble S7 etc.
What is the serial number of your equipment?
*
If not serialized type "none"
Accessories
*
If none type "none"
Take Photo of your equipment and accessories (optional)
Description of problem
*
Do you want a 1-Year Service Certificate for this Unit?
*
Yes ($50)
No
Do you want to add the Rush option? (This moves your instrument ahead of the line for an extra $150. Normal turnaround time is around 2 weeks+)
*
Yes
No
Instrument #4
Type of Instrument
*
Please Select
Manual Total Station
Robotic Total Station
GPS
Data Collector/Tablet
Automatic Level
Digital Level
Rotating Laser
Pipe Laser
Magnetic Locator
Pipe and Cable Locator
Other
What is the Make and Model of your equipment?
*
Ex. Sokkia IM-50, Topcon RL-H5A, Leica TS03, Trimble S7 etc.
What is the serial number of your equipment?
*
If not serialized type "none"
Accessories
*
If none type "none"
Take Photo of your equipment and accessories (optional)
Description of problem
*
Do you want a 1-Year Service Certificate for this Unit?
*
Yes ($50)
No
Do you want to add the Rush option? (This moves your instrument ahead of the line for an extra $150. Normal turnaround time is around 2 weeks+)
*
Yes
No
Instrument #5
Type of Instrument
*
Please Select
Manual Total Station
Robotic Total Station
GPS
Data Collector/Tablet
Automatic Level
Digital Level
Rotating Laser
Pipe Laser
Magnetic Locator
Pipe and Cable Locator
Electronic Theodolite
Transit Level
Other
What is the Make and Model of your equipment?
*
Ex. Sokkia IM-50, Topcon RL-H5A, Leica TS03, Trimble S7 etc.
What is the serial number of your equipment?
*
If none type "none"
Accessories
*
If none type "none"
Take Photo of your equipment and accessories (optional)
Description of problem
*
Do you want a 1-Year Service Certificate for this Unit?
*
Yes ($50)
No
Do you want to add the Rush option? (This moves your instrument ahead of the line for an extra $150. Normal turnaround time is around 2 weeks+)
*
Yes
No
Sign and complete
Signature
*
Submit
Calibrations#1
Please Select
TS-CC
R-CC
L-CC
AL-CC
ET-CC
PL-CC
DL-CC
P-CC
T-CC
TNOP-CC
GPS TRI-CC
SL-CC
Calculation#1
Calibrations#2
Please Select
TS-CC
R-CC
L-CC
AL-CC
ET-CC
PL-CC
DL-CC
P-CC
T-CC
TNOP-CC
GPS TRI-CC
SL-CC
Calculation#2
Calibrations#3
Please Select
TS-CC
R-CC
L-CC
AL-CC
ET-CC
PL-CC
DL-CC
P-CC
T-CC
TNOP-CC
GPS TRI-CC
SL-CC
Calculation#3
Calibrations#4
Please Select
TS-CC
R-CC
L-CC
AL-CC
ET-CC
PL-CC
DL-CC
P-CC
T-CC
TNOP-CC
GPS TRI-CC
SL-CC
Calculation#4
Calibrations#5
Please Select
TS-CC
R-CC
L-CC
AL-CC
ET-CC
PL-CC
DL-CC
P-CC
T-CC
TNOP-CC
GPS TRI-CC
SL-CC
Calculation#5
Service#1
Service#1 Cost
Service#2
Service#2 Cost
Service#3
Service#3 Cost
Service#4
Service#4 Cost
Service#5
Service#5 Cost
Should be Empty: