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As a service to our customers, BASS-UNITED accepts on-line requests for repair service calls. Please fill out the information below and one of our service dispatchers will call you to set up an appointment. Please send your request no later than 24 hours before your requested time. If you would like to speak to one of our dispatchers to set up an appointment or for technical assistance, please call (800) 372-2770. If you are a business that requires a purchase order (P.O.) for service calls please have this information available for when the dispatcher calls.
Name:*
Organization:
Account Number:
Street Address:*
Address (cont):
City:*
State/Province:*
Zip/Postal Code:*
Telephone:*
Service Information
Date of Service requested* (01/01/00)
Requested Service Time (Morning, Afternoon)
System Type: If known
Describe your issue.* Be as specific as possible
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