Service Request

Name(Required)

First Last

Phone(Required)

Email(Required)

Address

Elevator State ID #

Number of Elevators

Type of Elevators

Number of Landings

Type of Contract Requesting

Additional Comments

Phone

This field is for validation purposes and should be left unchanged.

P.O. Box 412
Salisbury, MD 21803

If you need immediate assistance, please contact the Service Department directly at 800-787-0436.

Please note, a Service Representative will respond to your Maintenance Contract request within a minimum of 24 hours.