+1 (706) 267-2552
info@geniuslifts.com
Section 1
Exclusively For Genius Lifts Customers Only:
In the event of an urgent service request ONLY, please text (888) 318-4487 from your mobile phone for immediate assistance.
Are you an existing Genius Lifts customer?
YesNo
Genius Lifts Customer ID (if available)
Has this equipment been previously serviced by Genius Lifts?
Approximate date of the last service performed by Genius Lifts (±15 days)
Is this equipment currently under warranty with Genius Lifts?
Do you have an active Genius Lifts maintenance plan?
If no, would you like to enroll in a Genius Lifts Maintenance Plan?
Section 2
Customer Information
Customer Company Name
First Name
Last Name
Email Address
Contact Number
Job Title
Section 3
Equipment Information
Equipment Identification Number / SKU
Note: If you have a Genius Lifts–provided EIN or SKU, please skip the remaining fields in this section.
Equipment Manufacturer Name
Serial Number
Model Name
Manufacture Date
Machine Hours
Machine Details (Capacity / Size)
Equipment Type
DieselElectricPropane
Is equipment under warranty?
Warranty Provider
Warranty Expiry Date
Section 4
Service Call Information
Reason for Service / Comments
When do you need the equipment repaired?
Do you need a rental equipment quote?
Is this urgent?
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