Service Request

Please note there is a $125 trip charge for our initial visit which includes travel and up to 1 hour of diagnosis and/or repair time. An additional charge of $75 applies if a second trip is needed to install a part plus the cost of any parts for up to 1 hour plus $75/hour thereafter which is payable to the technician when service is provided.  

Personal Information

* Required fields
Your Name:*
Street Address:*
City:*
State:*
Zip Code:*
Email:*
Phone (home):*
Phone (work):
Pager:

Machine Information

Item:*
Manufacturer:*
Model:*
Serial #:
Date Purchased:
Under Parts Warranty:	Yes     No
Under Labor Warranty:	Yes     No
Preferred Service Time:	8am-10am10am-12pm1pm-3pm4pm-6pm
Problem Description:*
Please note any error codes present: