Online Service Request Form

Do you have equipment that needs repair? We realize that from time to time, equipment needs to be repaired, calibrated or replaced. Or maybe you have just a simple question.

Please fill out the form below to arrange a service visit in your area. You will be contacted by an Teledyne Gas and Flame Detection representative within one working day. If your request is of an urgent nature, please select "Troubleshoot Immediate Problem" in Type of Service Required below.

(All fields with an asterisk are required fields.)

Contact Information

First Name *

Last Name *

Company *

Mailing Address *

City *

Country *

State/Province *

Zip Code *

E-mail *

Phone *

Service Information

Type of Service Required *

Equipment Involved *

Please specify equipment involved *

Contract *

Contract Number

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Online Service Request Form