Equipment Service Request

Contact Information

Fill out this form to request professional services for your equipment.

If you have pictures or videos that could help us understand your issue, please add them at the end of this form

First Name *

Last Name *

Phone *

Email *

Address

City

State

Country

Postal Code

Service Type

Interested In *

For shipping please use: Pacific Barcode, Inc. 27531 Enterprise Circle West, Temecula, CA 92590

Drop-off date if applicable

Amount of items

Equipment Information

Equipment make *

Model *

Serial No.

Problem Details

Problem description *

Can the problem be reproduced?

Media finish

Media type

File Type or Software Used for Printing

Computer OS

Connection

File Upload

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