Installation/Repair Customer Form
Service Date Requested:
*
-
Month
-
Day
Year
Date For Service
Type of Service
*
Installation
Service Call
PM Contract Inquiry
Strapping Tool Repair
Equipment Type:
*
Stretch Wrapper
Strapping Machine
Tape Machine
Shrink Wrap Machine
Strapping Tools
Other
Number of machines/tools being serviced:
*
Make
*
Model
*
machine passcode
*
Type NA if there is no code
Customer Information Below:
Please fill out information as required
Company Name
*
Service Requested by:
*
First Name
Last Name
Customer Contact Email
*
example@example.com
Customer Contact Phone Number
*
Contact Phone Number
Format: (000) 000-0000.
Your GAPCO Sales Rep Email If Applicable:
example@example.com
Customer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Authorized Signature on behalf of Customer
*
Notes before Repair
*
Use voice to text to make this faster if needed
Photo or video of equipment issues and settings before repair and after repair
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