For your convenience, we have added this online "service order" form so that you can request on-site service for your equipment if you are located in our service area.  You will receive the same prompt service as you are accustomed to receiving when you phone in your request.

 


NOTE: All fields marked with an Asterisk(*) are required.

Do you presently have an account with us?    Yes    No

ACCOUNT INFORMATION:    This is information that is specific to you.

Account Number:   
You can find your account number on a previous service order or invoice.

Account Name:    *
This will be the name of your business, state agency, or personal name if this is a personal account.

Contact Name:    *    Contact Phone Number:    *
This will be the name and number of the person who is familiar with the problem.

Your Email Address:   

EQUIPMENT  LOCATION:    This will be the physical address of where the equipment is actually located.

Street Address:    *

Building Name or Number:        Room Number:   

City:    *    State:    *    Zip:    *

EQUIPMENT INFORMATION:    This is information that is specific to the equipment that you are requesting service for.

Type of equipment:    *

Make and Model of Machine:    *
(ie. Brother MFC 4350, HP Laserjet 4000, etc)

Serial Number:        Property Number:   

Contract ID Number:   
If this equipment is covered under a Maintenance Contract, there will be a 5-digit code on our sticker located on the equipment.

Purchase Order Number if Applicable:   

Please enter a brief description of the problem:*

Please click on the "Submit Service Order" button once you have completed the form.