Service Request
Service Request Date
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Month
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Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Service Requested By
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Company Name
*
Existing Customers Only
Service Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Unit(s) Needing Service
*
Upload Purchase Order
*
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Warranty Information
Technician $220.00/hour (2 hour Minimum) Trip Charge $150.00 A $0.00 invoice will be sent if the issue is found to be under warranty. Please note that standard maintenance, tampering with, abuse of or failure to upkeep equipment is not covered under warranty.
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