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Equipment ID #
Company Name
Contact Name
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Nature of Service Request Select From Drop Down Menu Poor Quality Copies / Prints Misfeeding / Jamming Preventative Maintenance Light Is On Error Code (specify error code in comments field) Spots on Copies / Prints Lines on Copies / Prints Abnormal Noise Document Feeder Problems Duplexing Problems Stapling Problems No Power Will Not Transmit Faxes Will Not Receive Faxes Other (specify in comments field)
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