Fields marked with * are required
Your Information
Contact Name
*
Please include your name
Company
*
Please include company name
Address
Zip Code
Phone Number
*
Please include a phone number
E-Mail Address
*
Please provide an e-mail address Please check e-mail address
Machine Info
To better serve you please include as much information as you can.
Make
Model
ID#
*
Please provide an ID number
Location of Machine
Service Issue
How can we help you?
Please Select an Issue
Blank Copies
Black Copies
Gray Background
Fine Lines
Smeared Lines
Lines only when
using ADF
Originals
Jamming-Pulling Multiple
Originals
Jamming-Not Pulling any
Paper Jam-Generic
Paper Jam-Can
Not find
Paper Jam-Accordian
Paper
Jam- Rare but drives me crazy
Paper Jam-Everywhere
Paper Jam- Finisher
Paper Jam-Stapling
Paper Jam-When
using duplex
Noise-Squeak
Noise-Grind
Noise-Bang
Does not trun on
Oil/substance
on copy
Broken Cover
Broken Paper
Tray Guide
Can't Print from computer
Fax-Will not send
Fax-Will not receive
Scan-Genral
Doc Server-General
Multiple Issues
*
Please select an issue
How would you like for us to contact you?
Please Select
Please Send an Email
Please Call
Don't Schedule, just have tech call
NOW MACHINE DOWN
No, I will check up later if needed
Do you have time Restrictions?
Please describe the issue.