Field Service Call

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Request Service Form (FSC)

To send an Field Service Call please fill out the form below. Once submitted, you will receive a confirmation page. Please print a copy of the confirmation page. If you have any problems or concerns please email us at aso@qht.com or contact us online.

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Type of Service

Printer Repair

Computer Repair

On-Site Pickup (Qualified Customers)

Contact Information

Contact Name
Company Name
Street Address
City			State
Zip Code			Phone
Fax			E-mail

Equipment Information

MFG / Make   Model Number   Model Desc   Serial Number   Service Requested / Problem Desc Your Reference Number Department / Customer Billing Code