Request Service Delivery for Your Equipment

If you are Remi customer and are in need of service, please complete the form below. A Remi Service Representative will send a confirmation email with the Remi Contract Service Report confirming service has been dispatched.

You may also call the Service Delivery team at 866-296-4847 Monday – Friday from 7:30 am to 8:00 PM ET.

Are you a Remi customer?*	YesNo If you are not a Remi customer, please complete the contact us form or call us at 888-451-8916. We would be happy to assist you.
First Name:*
Last Name:*
Organization:*
Phone:*
Email:*
Address:*
City:*
State:*
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Required Equipment Information

Remi Item # or Serial #:*
Suggested Vendor:
On-Site Contact:
Reason for Service Request: *
Attachment:

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Upload your current electronic equipment service agreements and let us provide you with an alternative quote. If we offer similar coverage for less, consider us.

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