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  SERVICE REQUEST  
         "Your Technology People"
 
     
  *Required  
 

If desired, please complete the following--or--call our Service Department at 1-888-304-4005:

 

Do you need to schedule a service call?

 

Yes

 

 

 

Please select the make and type of machine for which you need service:

 

 

 

 

Do you want us to contact you with information about our maintenance programs?

 

Yes

     

Please specify the model number and tag nubmer of your machine and describe the nature of the service needed or--use this area to submit any comments to us:

 

     

Do you need supplies for your laser, inkjet or fax machine?

  Yes
     

*Company:

 

*Name:

 

*Address:

 

*City:

 

*State:

 

*Zip:

 

*Phone:

 

*Email:

 

christy_bartosik@ipcc.us.com