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Customer Service Request Form
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Business
Residential
Have we serviced the machine before?
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Yes
No
Business/Customer Name
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
On Site Contact Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Description of Issue
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Multi picture upload
Browse Files
Drag and drop files here
Choose a file
Upload one or more pictures
Cancel
of
Priority Level
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Preferred Service Date/Time
***We will do our best to accommodate the selected time and day. You will be contacted via email if there are any changes***
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“I authorize Metro Coffee Services to schedule and perform diagnostic service and agree to applicable service-call charges.”
Owner/Manager/Customer Name
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First Name
Last Name
Signature
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Submit
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