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Online Service Request

In need of service for your forklift, pallet jack, sweeper, scrubber or aerial lift? Shoppa’s Mid America offers online service requests for your convenience. Simply fill out the form below to get started.

IMPORTANT: If this is an emergency service request, please call our After-Hours Service Hotline at 866-923-0587. Our normal service hours are 7:30 AM to 4:00 PM, Monday through Friday.

Name*
On-site contact name (if different from above)
Company*
Location (if more than one)
Address*
City*
State*
Zip*
Email*
Phone*
Make
Model
Serial
Description of Problem*
Have you had service done by us in the past?*
Yes
No
Preferred method of contact?*
Email
Phone
Verify you are not a robot*
 

*required

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