Schedule a Service Call Request Form

This form is used to schedule on-site service calls. If you are intending to bring your item requiring service into our repair facility do not use this form. All service calls requiring travel of more than 60 round-trip miles will incur a 30 cent per mile mileage charge.

To initiate a service call submit the form below with the requested information.

To check on the status of a service call get your service tracking number and click here.

 

*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
*Phone:
*email:
Requested Tech:
Priority:
Please describe the nature of the problem and any time restrictions or requirements as to the time of the service call:
Security Code: