Product Service Request Form

Please Note: For Carrier Air Conditioner Products, please call 1-800-894-6449 to arrange service directly.

Our customer service team, led by Marshall Pless x116, is available Monday through Friday from 8:00 a.m. to 5:00 p.m. eastern time, to assist you. To reach us you may:

Call Us Toll free: 1-800-359-6741

Fax us: 1-904-247-7735

E-mail us: customerservice@mdmcommercial.com

MDM Commercial Headquarters Location:
1102 A1A North Suite 205
Ponte Vedra Beach, Fl 32082

Business Name: *(Healthcare Facility,Hospital, Hotel, School,etc.)
Account Number:(if known)
Contact Name: *
Address:
Phone: *
Fax:
Email Address: *
Ship To Address:(if different than above)
Ship To Contact:(if different than above)
Contact Phone:(if different than above)
Item Number 1
Address where product is located:
Manufacturer:
Serial Number:
Model Number:
Purchase Date:(if known)
Is Product Under Warranty?(if known)
Service Requested:
Item Number 2
Address where product is located:
Manufacturer:
Serial Number:
Model Number:
Purchase Date:(if known)
Is Product Under Warranty?(if known)
Service Requested:
Item Number 3
Address where product is located:
Manufacturer:
Serial Number:
Model Number:
Purchase Date:(if known)
Is Product Under Warranty?(if known)
Service Requested:
Additional Comments: