Service Request

Required: Contact factory Technical Support prior to making service requests using this form.

Confirmation of service requests will be returned porvided within 12 working hours. If confirmation is not received, please contact DLR Sales, Inc.

Terms for service work are as follows. Fees apply to services provided for field correction and/or review NOT covered by published product warranty as currently published or shown here:

Work will be billed by at a rate of $125 per hour.
Site visits with Project Managers of original factory purchasing company (No Charge).
Round trip travel from DLR Sales, Inc. Santa Clara, CA (Fees apply)
Purchase orders only accepted from established DLR Sales, Inc. accounts.
DLR Sales, Inc. Standard Terms apply.
DLR Sales, Inc. assumes the submitter is an authorized card holder or purchaser.
DLR Sales, Inc. assumes the submitter is authorized to disclose the requested information.
DLR Sales, Inc. assumes the submitter is authorized to request this work.

Service Request Information (* indicates required information)

Service Request Details

Product Manufacturer *
Product Factory Number / Description *
Purchase Order or Factory Order Number
Date Supplied [ 06/20/2013 ]
Date Installed [ 06/20/2013 ] *
Date Factory Contacted [ 06/20/2013 ] *
Factory Service Contact *
Click here for factory support
Detailed Description of Problem
*
Description of troubleshooting actions taken
*

Individual Requesting Service (Bill to): Company * Website First Name * Last Name * Title/Role * Phone * Cell Email	Material Supplied By: Company Website First Name Last Name Title/Role Phone Cell Email
Site Contact Information: Company * Website First Name * Last Name * Title/Role * Phone * Cell Email	Alternate Site Contact Information: Company Website First Name Last Name Title/Role Phone Cell Email
Installer Mechanical Product Company Website First Name Last Name Title/Role Phone Cell Email	Installer Electronic Product (if applicable): Company Website First Name Last Name Title/Role Phone Cell Email Ignore the following field: Verify Email *