You can also print this form and fax or mail your request.
Name:
Company Name:
Department/Floor:
Phone:
Sendai Plus Card Member: No Yes Member Number:
Please enter product information:
Equipment ID Number: Model:
What problems are you experiencing:
Isyour equipment still operable? No Yes
Your request will be handled by the normal Sendai Service dispatch procedures. Sendai Plus Card holders will receive priority status on all service calls.
