Triangle Tube

Labor Allowance Request

Model (Required)

Serial Number (Required)

Date of Visit (Required)

Contractor Company (Required)

Technician Name

Contractor Address(Required)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Codess

Country

Contractor Contact Number (Required)

Contractor Email Address (Required)

Installation Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Codess

Country

Upload Internal Revenue Service W-9 Form(Required)

*Required for all US persons as defined in Internal Revenue Service Form W-9 Request for Taxpayer Identification Number and Certification Instructions.

Drop files here or

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 14 MB, Max. files: 5.

Labor Request(Required)

$135 for Parts Replacement

$135 for Parts Replacement

$135 for Parts Replacement

Description of Work

Please allow 4-6 weeks for processing upon arrival.

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