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Complete the form below to request a Service Technician for your site.

A Technical Support Representative will contact you within 24 hours to set up a service visit. If this is an emergency, please call us at 800-426-9010 or 425-486-6600.

 
       
   

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Type of Service Call:

 

Plant Requirements:

Safety Training:

Yes:   No:

Drug Testing:

Yes:   No:

Facial Hair Net:

Yes:   No:

Special Clothing:

Yes:   No:

Certificate of Insurance:

Yes:   No:

Union:

Yes:   No:

Type of Sensor(s):

Type of Controller(s):

   

Service Request Details/
Known Symptoms:

   

Urgency:

 
       
       
   

Please provide the following contact information:

 

Plant Name: *

  Bill to: *

Address 1: *

  Address 1: *

Address 2:

  Address 2:

City: *

  City: *

State/Province: *

  State/Province: *

Zip/Postal Code: *

  Zip/Postal Code: *

Contact Name: *

   

Email: *

   

Phone: *

   

Fax:

   
       

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© 2004 Kistler-Morse   150 Venture Blvd., Spartanburg, SC 29306   Toll Free: 1.800.426.9010  Tel: 864.574.2763