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Service Request
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* Indicates required question
Your Name
*
Your answer
Customer's Name
*
Your answer
Customer's Phone #
*
Your answer
Stock#
*
Your answer
Date of Purchase?
MM
/
DD
/
YYYY
What issue(s) is the customer having? (Please get as much information as possible)
*
Your answer
Do they have a warranty?
*
Yes
No
Required
**Please tell the customer to allow 24hrs for return phone calls unless it's HEAT!**
*
IT'S HEAT
Okay
Required
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