Service Request – Carolina Components Group

Service Request Form

Please fill out the form below and we will respond to your request shortly.

Your Name*

Your Company Name*

Shipping Address

City

State or Country*

Zip Code

Phone*

Email*

Equipment Details

Equipment Type (Scale and Options)*

Quantity

Serial Number*

Software Version*

Date of Purchase

Equipment Problem Statement(s)

Mixer Scale

Selection/Qty

Problem Encountered (Hardware)

Problem Encountered (Software)

Events Leading Up To Service Request

Was the system in operation when the event occurred?

If yes, what was the operation happening prior?

If yes, how long was the operation in progress?

When was the facility last cleaned?

Were there any remarkable events prior (electrical outage, power surge, etc.)?

Had the system been moved prior to the service event?