Service Request

We pride ourselves on you the customer on you the customer and our service to the customer. We strive to nurture this relationship from the very first call to insure that we do our part in meeting your needs: a relationship that will remain effective into the future.

Haynes Technologies wants to earn your business and we commit to earning that business each time you have a need.

To request service, please submit the form below. If you need to speak to a service representative, you may dial 1-800-467-6878 or 1-828-254-6141 and ask for a Haynes Technologies Service Representative.

Location and Contact Information

First Name
*
Last Name
*
Title

Company
*
Customer Number

Physical Address

City

State

Zipcode

Telephone

Alt. Telephone

Fax

Email

Special Site Instructions (i.e. Sign-In, Restricted Areas, Etc)

Billing Information

Company

Mailing Address

City

State

Zipcode

Contact Name

Purchase Order Required?

Yes

No

If Yes, Purchase Order Number

Overtime Approved

Yes

No

If this is a new account, an account representative will contact you to establish payment arrangements prior to commencement of work

Service Request Information

System Type

System Manufacturer

If Manufacturer is "Other", Please Enter it Here

Model (if Known)

Description of the Problem. Please Provide as Much Information as Possible

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