Quick Request for Service

Kip Service Request

If you have KIP equipment that needs repair fill out this form at anytime and you will receive a response during normal working hours M-F 8am-5pm. If this is an emergency, please fill out the form and call 1-800-734-3373 xt 239. Be sure to leave a detailed message.

Contact Information

Your Name (required)

Your Email (required)

Confirm Email Address (required)

Company Name

Phone Number

Equipment Information

Machine Status (required)

Problem Description (required)

Please give details of your equipment issue. List error codes if present.

Please provide the current address where your equipment is located

Payment Information

Method of Payment

P.O. Number