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Service Request Form

SPECIAL NOTE:This form good ONLY for service needed in the United States
(includes Alaska & Hawaii) & Canada.

Please fill out the following information:
Company: Phone:
Name: Fax:
Shop Address: E-Mail:
City: WWW Address:
State:
Zip Code:  
What type of machine needs to be serviced?:
Please have a serviceman call us A.S.A.P. YES

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Copyright © 2007 Three Rivers Machinery. All rights reserved.
Three Rivers Machinery -- 1079 East Windhaven Road -- Pittsburgh, PA 15205 -- Map
Phone (412) 921-2800 7AM-5PM EST -- 24/7 Fax (412) 921-2801