| Accepting Location: * | | Please describe the problem at this location with as much detail as possible in the box below. *
For
Laundry Machines, please include:
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Machine Type (Washer, Dryer)
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Machine Number
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Issue
(Dryer Did Not Start, Display Is Blank, etc)
For
Vending Machines, please include:
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Machine Type (Coke, Pepsi, Snack, etc)
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Issue
(Card Terminal Is Jammed, Machine Is Not Working, etc)
| | | First & Last Name: * | | | E-mail Address: * | | | Student ID Number: * | | | Phone Number: | |
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| * Required | |
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