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TEXMAC Inc. Service Request Form
 Please fill out all fields below to ensure proper routing of your service request!

     Company Name      Contact Person's Name
  Company Address  
                                                                  
                             City     State     Zip or postal code
                Country

  Telephone Number      Alternate Telephone       
                    Email

  Model Number Needing Service                Serial Number
  
  Urgency of Problem   
 
  Please describe the Problem in as much detail as possible.
                      

  Please provide any driving directions to your location that you can.
                                     

Note Regarding Scheduling: 
As it is desirable to reduce travel costs to you when  possible, TEXMAC will allow "service sweeps" in a region to divide travel expenses when advance plans can be  made with two or more customers. Contact TEXMAC as soon as possible if you wish  to discuss this type of arrangement; service "sweeps" must be planned in advance.