-- SERVICE REQUEST --

Name: *

Company: *

Address: *

City: *

State: *

Zip: *

Email: *

Phone: *

Model: *

Serial Number: *

Service Requested:

Service Type:

Time and Material Calls Require a Purchase Order or Credit Card Authorization In Advance

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Problem Description:

Comments:

If the form is completed, click Submit.

This call is not to be considered as dispatched until AIS personnel confirm to the contact with a Service Order number.

Allied Integrated Services Web Site Privacy Policy

Allied Integrated Services Web Site Privacy Policy
This site may request personal information, which may include your e-mail address, domain name (where applicable), address, telephone number, etc. The requested personal information will be collected by Allied Integrated Services to be used by Allied Integrated Services to assist in serving you more effectively. Personal information is also used by Allied Integrated Services for internal review to improve the content of our web page, to notify consumers about updates to our website, and/or to contact consumers for marketing purposes.

Safeguarding your information is a priority for Allied Integrated Services. Your personal information is never shared with marketers, including e-mail marketers, wishing to offer you their products and services.