We Service What We Sell

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Company Name: Contact
Phone: Fax:
Address:
City: State & Zip:
Machine Mfg: Model & S/N:
Control Mfg: Model & S/N:
Installation Date:

CNC Warranty:  Yes     No

First Call Date: Time:
Second Call: Third Call:

Is there an alarm, LED light, or alarm message? Yes     No

If so, what?
Did you try to correct the problem? Yes      No
If so, how?

How long has the machine been down?

Is it a repeat problem? Yes      No
Who should we contact about this problem?
What hours will someone be there to assist us and what hours is the machine accessible?
Describe the problem: