Industrial Automation For Precision Process Control and Data Management

 

Register here if you would like to request a WEM service technician to work on a WEM control that is not subject to an outstanding service contract. Please complete the following form and press the Submit button at the bottom of the page to email it directly to WEM's Service Department. You can also print this form and complete it, if you would prefer to fax your order. (For fax number .) Once we have received this form, we will contact you to make a final confirmation for service.

In order to give you prompt service and to expedite the repairs or start up of your control, we require that this form be completed to authorize service work. If start up is covered in the original contract, this purchase order covers any additional labor and expenses exceeding the contract.

Control System Model Number
WEM Job Number or WEM Serial Number
In the space provided, describe the service you are requesting.
Date you request a technician on site
Time you request a technician on site

Purchase Order or Verbal Authorization

Purchase Order Number
Verbal Authorization By

Bill To Information

Name
Company
Address
City
State		Zip or Postal Code
Country
Email Address
Ship To Attention Of

Job Location

Address
City
State

With your request and the information above, you are in full agreement with the present terms and rates for paid field service as outlined in WEM's current Service Bulletin. (If you would like to obtain a copy of this bulletin, please contact WEM.)

While our service technician is on site, the name and number of a plant official is needed to be the contact to authorize continued service and overtime.

Name
Telephone Number

-IMPORTANT-

Please click the submit button below to send your request directly to WEM, or print this completed form and fax to WEM, Attn: Service Manager at 262-782-2653 and he will contact you to arrange a service date. We need a copy of this form before we can make a final confirmation of a technician.

Thank you for your interest in WEM field service.