303.790.0700 | 800.561.5441 |

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Equipment Services

BRC customers receive a 10% discount on labor for repairs or other service work on equipment currently covered by a BRC Preventive Maintenance Agreement, and/or 10% discount on all equipment that BRC Harris has not previously serviced. Use this form to request service or call 303.790.0700 (800.561.5441 toll-free), ext 5.

First Name:*
Last Name:*
Title:*
Company:*
E-mail:*
Phone:*
Service Address Line 1	Street Address, P.O Box
Service Address Line 2	Suite, Unit, Building, Floor
Service City *
State *
ZIP
Best Time to Call:
Is this equipment under a current BRC Harris Preventive Equipment Maintenance Agreement?	Yes No
Has BRC Harris serviced this piece of equipment before?	Yes No
Type of Equipment*
Equipment Manufacturer
Model
Serial Number
Comments / Requests / Other:
* required field

303.790.0700 | 800.561.5441 |

Equipment Services

303.790.0700 | 800.561.5441 |