Seattle 206-782-1011 | Redmond 425-882-1087

Service Request

*Date

*Your Name

*Who should we contact for Service?

*Contact Phone

*Contact e-Mail

*Service Address

*City

State

*Zip

*Approximate Date of Purchase (mm/dd/yyyy)

WD&M Sales Rep

WD&M Sales Order# or Invoice#

*Manufacturer?

Business Name

Contact Name

Phone

E-mail

Please use the following area to describe in detail the service required.

Please feel free to attach photos or documents to aid in your request.

If you have more than one file you would like to upload then please add all of the files to a ZIP archive and upload the archive.

Upload

You can expect to be contacted within 48 hours of this submission. Please do not duplicate your request by contacting the office.

Send Copy of Request to: