Service Request Form

Please complete the form below so our Customer Service team can help you. Once your request is submitted, you will receive an email confirmation along with a ticket number for tracking your incident.

Company Name(Required)

Company City(Required)

Company State(Required)

Contact Name(Required)

Contact Phone(Required)

Contact Email(Required)

Machine - Make(Required)

Machine - Model(Required)

Machine - Serial Number(Required)

Description of Problem(Required)

Requesting Parts?(Required)

Please provide information if you are requesting parts

Attachments

Must Include CONF file (Comelz Only). Include Relevant Photo(s). Include Relevant Videos(s).

Drop files here or

Accepted file types: jpg, jpeg, png, gif, pdf, doc, docx, conf, Max. file size: 128 MB.

CAPTCHA

This field is for validation purposes and should be left unchanged.