Laser Service Inc.

Laser Service Request Form

To help you we need some basic information to get started. Additional information will make it easier for our technician to select what parts and equipment to bring. You can Request Service on upto 2 devices at a time.

Company *	Customer ID If Available
Your Name*	Phone* ( ) - -
Address *	Email*
City* State*	Zip*
Email *
Have you ever done business with us before?*	Yes No
* Indicates required Fields

Printing Device #1	Printing Device #2
Manufacturer	Manufacturer
Model	Model
Laser Inkjet Fax Other	Laser Inkjet Fax Other
Warranty Non-Warranty	Warranty Non-Warranty
Problem(s) Paper Jam Streaking Picking Multiple Pages Grinding or Alarming Sounds Strange Odors Other (Please Explain)	Problem(s) Paper Jam Streaking Picking Multiple Pages Grinding or Alarming Sounds Strange Odors Other (Please Explain)
Error Message If applicable	Error Message If applicable
Other Comments By clicking 'Submit' you will have placed a service call request. This means a Laser Service representative will be contacting you the same or next day, during normal working hours, 7 days a week to discuss your problem and offer a tentative repair estimate. For emergency repair, our 24 hour answering service at 847-364-4446 can assist you in quickly reaching a Laser Service representative.

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