Service Request Form To submit a service request, fill out the form below as completely as possible. If you have additional questions or concerns please contact us at (281) 344-0908. The highlighted rows are required to submit a service request. Reported By: Facility Name: Address: City: Zip: Phone: Contact: Type of Equipment Repair Needed Warranty repair?   - Select One - Warranty Non-Warranty Type of repair?   - Select One - Mechanical Entertainment Upholstery Installation Equipment Move Pick Up and Delivery Equipment Details PLEASE BE SURE TO PUT THE CORRECT MODEL & SERIAL NUMBERS Serial Number Make - Select One - Alter G Body Basters Cardio Theater Cardio Vision Cateye Fitness Clubcom Concept II Cybex Expresso Freemotion Icarian Keiser Landice Lifefitness Matrix MYE Entertainment Nautilus Netpulse Paramount Precor SciFit StairMaster StarTrac TechnoGym Versa Climber Woodway USA Other Cardio or Strength - Select One - Cardio Strength Model Info - Select One - Other   Weight System - Select One - Plate Loaded Selectorize Description of problem or work to be done:   Additional Equipment. The second piece of equipment is optional, but if you enter a serial number you will be required to complete the rest of the information for that piece of equipment. Serial Number Make - Select One - Alter G Body Basters Cardio Theater Cardio Vision Cateye Fitness Clubcom Cybex Expresso Freemotion Icarian Keiser Landice Lifefitness Matrix MYE Entertainment Nautilus Netpulse Paramount Precor SciFit StairMaster StarTrac TechnoGym Versa Climber Woodway USA Other Cardio or Strength - Select One - Cardio Strength Model Info - Select One - Other   Weight System - Select One - Plate Loaded Selectorize Description of problem or work to be done: Additional Information Is the power cord plugged in properly to a hot electrical receptacle? Select One Yes No Are any error codes displayed? Select One Yes No If so, what are they? Is the power switch turned on? Select One Yes No Does the console come on? Select One Yes No Repair Location: (If entertainment repair, describe type of equipment entertainment is attached to)