RMI NC Piedmont Intake Form 
Thank you for choosing RMI for your automower needs.  Please fill out this form so we can place you on our schedule.  

IMPORTANT MESSAGE: This Is Our Busy Season.  If Your Automower Is In Need Of Servicing,  Please Make Note There Is A 2-3 Week Window For Servicing. There Have Been Delays In Receiving Automower Parts. 

We Thank You For Your Patience In Advance

Office Hours Mon - Friday 10 am - 5 pm, 
Phone:  704-828-2008   
Email: ncpiedmont@roboticmowerinstaller.com

Sign in to Google to save your progress. Learn more
Name  *
Email address *
Phone number  *
Is this for a repair or purchase *
Describe your repair issue.
When Did Your Issue Begin *
MM
/
DD
/
YYYY
Type Of Husqvarna Mower *
Required
When Did You Purchase Your Mower
MM
/
DD
/
YYYY
Is Your Mower Under Warranty (Automowers come with a 2 year warranty) *
Address *
Priority *
Very high
Very low
How Did You Hear About Us 
Clear selection
Todays Date
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms