Service Request Form - DBI

Complete the form below and a DBI service team member will contact you within 2 business days to coordinate a visit from one of our experienced technicians.

DBI provides the expertise, products, and services that help our clients succeed, no matter the circumstances. If you have any questions, please feel free to contact us at 517-485-3200.

"*" indicates required fields

URL

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

Company Name*

Address

Floor / Suite

City, State, Zip

Name*

First Last

Phone Number (include area code)*

(111) 111-1111

Phone Extension:

Email Address*

DBI Account Manager (if known)

Hours / Days of Availability*

Reason for Service:*

All service requests must be accompanied by photos of the product and the product tag to be processed under warranty. Please attach all photos below:*

Drop files here or

Accepted file types: doc, docx, jpg, gif, png, pdf, jpeg, Max. file size: 2 GB.

Service Supervisor: Chad Whited | Service Tech: Joe Przedwojewski (Joe P)

FOR DBI USE ONLY. Pull from stock______ #of boxes_____

Service has been completed to customer's satisfaction: X________________________________________________________date_______

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