For non-emergency technical support for your office equipment. This form will be submitted to our service center for timely scheduling of a service visit. For service on down equipment please contact our service center by phone [1-530-245-9193].

Company Name
Contact Person
Phone Number
( ) ext
Machine Information:
Manufacturer
Model
Serial Number
Copier
Fax
Printer
Other
Symptoms( select all that apply)
Dark Light Lines Voids Dirty Skew Jams Misfeeds
Service Code
Other/Additional

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