SERVICE REQUEST FORM

Service Request Form Direct Fitness Solutions 600 Tower Rd Mundelein, IL 60060 Toll Free 800-838-2819 x229 For the quickest response, please fill out the form. You should hear from someone at DFS within 24 hours.	Name:*
	Company Name:
	Address:
	e-mail address:*
	phone number:*
	Fax:
	Describe Problem or Service Required:
	Product Name:
	Model Number:
	Serial Number:
	preferred method of contact:

*Required field