Customer Service Form

Current Sales Rep Email (if known)

Safety First! Barricade any unsafe equipment from being used.

Purchased By Agency*

Project Name (name of Park, School, etc.)*

Contact Name*

First Last

Contact Title

Contact Email*

Contact Phone

Contact Cell

Contact Fax

Project Address*

Street Address Address Line 2 City State ZIP Code

Playset Name

MINI (4X4 POST) - MEGA (6X6 POST)

RSP Color

Originally Installed By

Date Purchased

Billing Address

Street Address Address Line 2 City State ZIP Code

If your organization is Tax Exempt, please email your certificate of exemption to [email protected] or fax to 606-678-0911.

Description of Problem

Phone

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