ELECTIONS SERVICES >> EQUIPMENT MAINTENANCE >> SERVICE FORM

Equipment Service Maintenance Form

Voting equipment service maintenance form can be used for existing North Carolina, South Carolina and Virginia customers.

If you are a new customer and wish to inquire about service, please contact Tammy Malone at (888) 662-4237 or tammym@printelect.com. For a list of all models we service, please click the on the Equipment Maintenance tab.



CUSTOMER INFORMATION
County: *
Contact: *
Address: *
City: *
State: *
Zip: *
Phone Number: *
Cell Number:
Fax Number:
E-Mail Address: *
   
   
RMA INFORMATION
Packing:  

Do you have packing materials?

Yes No

Do you need packing materials supplied?

Yes No
Shipping: Printelect will issue RMA via UPS
  County will ship/deliver machines
Other:  

What is your override password?

*

When do you need the machines repaired by?

*
(e.g., date repairs needed by...)

Have all votes been collected off the machine(s)?

Yes No
   
   
DESCRIPTION OF PROBLEM
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