Capitol Office Solutions - Service Request


Press the Submit Request button to submit your information after you are done filling out the form.

Equipment ID: **Last 5 Digits Only**

Please Re-Enter the Equipment ID -

OR

Model/Serial: /


P.O. Number:

Description of Problem:

Comments:


Your name: Last First

Please enter a phone number you can be contacted, if further information is required.

Contact Number: ( ) -

Please enter a fax confirmation number, if you desire a fax confirmation.

Fax Confirmation Number: ( ) -



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