Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Request Servo Power Feed Repair Please fill out the form completely, providing all applicable information. After the unit is inspected, we will prepare a formal quote and contact you with the details. Servo Type *140150200350XPlease select your unit’s model from the list provided. Serial Number *If the unit is under warranty, please provide the date of purchase and the place of purchase.Please provide a detailed description of any errors, malfunctions, or performance issues observed with the equipment. *Company *Name *FirstLastEmail *Phone date Units days Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePricing: *Please confirm that you agree to the terms and conditions outlined below before submitting the form.Evaluation Charge: $45.00 (This charge is waived if the repair is completed or if a new unit is purchased from Emrick Machinery.) Labor: The number of labor hours required will be determined based on the severity of the issue. Parts & Freight: The cost of replacement parts and freight for returning the unit will be added to the final invoice. Formal Quote: A detailed itemized quote will be provided after the equipment has been evaluated, outlining the cost of each service component. Quote Validity: All quotes are valid for 60 days from the date of issuance. Units that are not approved for repair and are not returned will be scrapped after 90 days from the date of evaluation. *By clicking this box, you acknowledge that you have read and agree to the terms and conditions listed above.Signature *FirstLastTitle *Date *Submit