Ultrasound Service Request : Ultrasound Solutions Corp. USC

Preventive Maintenance Corrective Repair

Contact Information:

Contact Name:

Company / Institution:

Zip:

Contact Me by:

Email:

Phone:

Best Time To Be Reached

Under USC Contract:

System Mfg:

System Model:

Problem Reported/ Comments:

*Please Note: New customers will be required to give a credit card number when service calls are scheduled