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2026.06.09 10:21:41  Name:                                       User: Type:

Customer Registration


Create your login:
New User ID (6-16 chars) (this will be your login for this system)
New Password (6-12 chars)
Repeat Password

Tell us how to get in touch with you:

Name (first last) *
Company (if commercial)
Address *
City - State - Zipcode * City: State: Zipcode:
County
E-mail *
Primary Phone *
Alternate Phone
Extra Phone
FAX


Tell us where is the first piece of equipment located (if not at your address)?

Site Name
(home or store name)
Address *
City - State - Zipcode * City: State: Zipcode:
Location Phone *
Location Hours
E-mail *

Tell us about your first piece of equipment
Equipment Name/Mfgr *
Equipment Type *
Model *
Equipment Serial Number 
Date of Purchase
Where Purchased
Warranty End Date
Was it delivered ? Yes No

** Required
* required for non-commercial requests

Tell us when and what service is needed.

Equipment Down Equipment Problem Setup Equipment Maintenance Other Request Register only

Desired Service Date:       Service Window (9am to 1pm) or (1pm to 5pm):

(date and time are on a first come basis and may incurr overtime if the request is not during our normal
business hours of 9:00am to 5:00pm M-F)

How often should we schedule maintenance service: (Days Between Service Dates):
leave blank if no schedule is desired, also set Service Needed to "Register Only".

If serviceis needed, tell us what is needed in the space provided below, include symptoms and error codes. Please be brief or leave a message to call you for more details.

Please enter the code at left   (case sensative)

   

email: info@fitrepairs.com
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