Technical Support Call Request Form

Fields marked with an * are required

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Contact Name *

Date Of Request *

Personal or Business? *

Home Use Business Use

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Make *

• JVR Industries, Inc.
• Promarks
• Rollstock, Inc.
• Busch Vacuum
• Sipromac

Model *

Serial #

Age Of Unit (If uncertain, leave blank)

Please Provide A Detailed Description Of What Your Are Experiencing *

Provide An Image Of The Issue

Select Files Cancel

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Phone *

Select Beginning Time Availability *

9:00 am 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am Noon 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm 3:30pm 4:00 pm 4:30 pm

Select End Time Availability *

9:00 am 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am Noon 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm 3:30pm 4:00 pm 4:30 pm

Time Zone *

Eastern Standard Time Central Standard Time Mountain Standard Time Pacific Standard Time Alaska Daylight Time Hawaii-Aleutian Standard Time

Days Of Availability *

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday

Do You Own A Multimeter / Volt Meter? *

• Yes
• No

What Would You Say Your Level Of Technical Competency is? *

• Novice
• Intermediate
• Expert

If you are a human seeing this field, please leave it empty.