Name Company Mailing Address Phone Number Purchase Order Number (If Needed) LSI Account Number (leave blank if unknown) Email Address (For Confirmation)
Manufacturer Model Serial Number
Please list a brief description of your printer problem: (Please Note: If you have more than one printer please let us know here)
A Laser Services Representative will send an email confirming your order. If you do not receive a confirmation email within 2 hours please call us to make sure your order was processed properly.