701 Seneca St. | Buffalo, NY 14210 | 716/852-2203
Printer, Fax & PC Service Request Form
Take a moment to complete this form and submit it to our Service Department. Check your choice for the method of reply and one of our team members will get back to you within 24 hours.
Personal/Company Info
(
*
required fields)
First Name
*
Last Name
*
Company
*
Email
*
Phone
*
Fax
Address
City
State
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Preferred Method of Contact:
E-mail
Phone
Immediate Contact Requested
Product Info:
Printer
Fax
PC
Is unit under warranty?
Yes
No
If so, enter date of purchase
Manufacturer
Model #
Describe the problem you are experiencing in detail below. Please include any applicable error codes.
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