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After Hours Mobile Service Request Form
For Mobile Service Requests please fill out as thoroughly as possible. Pricing will be based on when a tech will arrive on the scene, not when they were contacted unless otherwise stated. Mobile service is on a first-call first-serve basis.
Initial below confirming you understand our Mobile Service Rate is $245/hour with a 2 hour minimum--$200 call out fee --$3 per mile
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Contact Information:
Person to make decisions on repair.
Company Name
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Contact Person/ Account Authorizer
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Driver Name (if different from above)
First Name
Last Name
Driver Phone Number
Please enter a valid phone number.
Service Details:
Information about equipment needing service.
Address of Mobile Service
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Are you in a safe location: You are located where you have access to temperature controlled environment, food, water, and or on the side of the road not blocking traffic.
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Please Select
Yes
No
Type of Equipment
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Please Select
Truck
Trailer
Other
Equipment Info
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(Make, Model, Year)
FULL VIN Number
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Unit Number (if applicable)
How many miles are on unit?
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License Plate #/ State Registered
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What service are you needing? What is wrong with the equipment?
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Be as specific as possible.
Upload Picture of Issue
Browse Files
Drag and drop files here
Choose a file
Upload any pictures pertaining to issue.
Cancel
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Need a tow? If yes, please contact Ed's Towing (218-233-7740) or Aggressive Towing (218-287-2344) to be towed to Deckplate Diesel
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Please Select
Yes
No
If the service exceeds $1,000, Deckplate Diesel will reach out to authorizer of account to obtain approval of further service. If the authorized amount is lower than $1,000 please type amount below.
Accounts Payable
Payment Information
Purchase Order/Reference Number (If Applicable)
Accounts Payable Contact
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First Name
Last Name
Accounts Payable Email
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example@example.com
Accounts Payable Phone Number
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Please enter a valid phone number.
Initial below confirming you understand a 3.25% Convenience Fee will be added to all payments made by credit or debit card. This fee will be due at the time of credit or debit card payment and is non-refundable.
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Payment Form
Please Select
Cash
Check
EFS Check
COMcheck
Credit Card
Terms of Service & Signature
If you need immediate assistance please call 701-929-0199 after submitting the form! We look forward to working with you!
By signing below, I acknowledge that I have read, understand, and agree to the rates and procedures of Deckplate Diesel LLC's Mobile Service Request.
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Further Comments:
We always look forward to hearing input from our customers!
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