Field Technician Request Form

Requested Service Date:*

Customer PO Number*

An Customer PO Number is required before a field technician can be scheduled.

Welding Equipment Rental Order (TR or PO):*

Material Sales Order (SO or PO):

Distributor Contact Name:*

Email:*

Field Service Need:*

Project Name:*

Project Address:*

Project City:*

Project State:*

Project Zip:*

Training Request:*

Hold down the Ctrl (windows) or Command (Mac) button to select multiple options.

Priority*

Site Contact Name:*

Site Contact Phone Number:*

Submission Notes:(equipment serial number, site requirements, etc.)

Comments

For any questions or issues regarding this form, please reach out to Angelic Martinez at [email protected] or (781) 388-4585.

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} #moove_gdpr_cookie_modal .moove-gdpr-branding.focus-g span, #moove_gdpr_cookie_modal .moove-gdpr-modal-content .moove-gdpr-tab-main a.focus-g, #moove_gdpr_cookie_modal .moove-gdpr-modal-content .moove-gdpr-tab-main .gdpr-cd-details-toggle.focus-g { color: #0b85c5; } #moove_gdpr_cookie_modal.gdpr_lightbox-hide { display: none; } .quadmenu-dropdown-menu { background: linear-gradient(91deg, #0b85c5 0%, #05405f 100%) !important; } #quadmenu .quadmenu-navbar-nav li:last-of-type.quadmenu-item .quadmenu-item-content { padding-right: 0; } .quadmenu-item-content { text-align: center; } /* Make dropdown menu scrollable on mobile */ @media (max-width: 768px) { .quadmenu-dropdown-menu { max-height: 80vh; /* Adjust this value as needed */ overflow-y: auto; /* Enable vertical scrolling */ overflow-x: hidden; /* Prevent horizontal scrolling */ position: relative; } } #quadmenu.quadmenu-default_theme .quadmenu-navbar-nav .quadmenu-dropdown-menu li.quadmenu-item:hover > a > .quadmenu-item-content { text-decoration: underline; } #quadmenu .quadmenu-navbar-nav li.quadmenu-item>a>.quadmenu-item-content>.quadmenu-text { display: inline; } @media screen and (min-width: 923px) and (max-width: 1194px) { html:lang(es-ES) #quadmenu.quadmenu-default_theme .quadmenu-navbar-nav > li.quadmenu-item > a, html:lang(fr-FR) #quadmenu.quadmenu-default_theme .quadmenu-navbar-nav > li.quadmenu-item > a, html:lang(pt-br) #quadmenu.quadmenu-default_theme .quadmenu-navbar-nav > li.quadmenu-item > a { font-size: 10px !important; } html:lang(es-ES) #quadmenu .quadmenu-navbar-nav li.quadmenu-item .quadmenu-item-content, html:lang(fr-FR) #quadmenu .quadmenu-navbar-nav li.quadmenu-item .quadmenu-item-content, html:lang(pt-br) #quadmenu .quadmenu-navbar-nav li.quadmenu-item .quadmenu-item-content { padding: 7px 7px !important; } } @media screen and (min-width: 1195px) { html:lang(es-ES) #quadmenu.quadmenu-default_theme .quadmenu-navbar-nav > li.quadmenu-item > a, html:lang(fr-FR) #quadmenu.quadmenu-default_theme .quadmenu-navbar-nav > li.quadmenu-item > a, html:lang(pt-br) #quadmenu.quadmenu-default_theme .quadmenu-navbar-nav > li.quadmenu-item > a { font-size: 12px !important; } } @media (min-width: 576px) { #quadmenu .quadmenu-navbar-nav .col-5 { max-width: 20%; } } .field-tech-form label, .notes { font-size: 12px; font-family: Roboto, sans-serif; } .input, .input.submission-notes, .plain-text { width: 100%; } .field-tech-form { margin: 0 auto; width: 100%; } .field-tech-form label { font-weight: 700; } .input-row { display: flex; flex-direction: column; gap: 2em; justify-content: space-between; margin-bottom: 2em; width: 100%; } @media screen and (min-width:57.625em) { .field-tech-form, .input { width: 50%; } .input-row { flex-direction: row; } } .input-row input, .input-row select { border-color: #0b85c5; font-size: 1em; height: 2em; line-height: 22px; font-weight: 400; width: 100%; } .input.product-type { height: 100%; } .input-row .input.product-type select { height: 10.25em; } input.cta { background: url("https://cdn-ilefhkp.nitrocdn.com/fgVmNAsiTzWodNweVupYFElxLRRpWjof/assets/images/optimized/rev-5045666/www.asahi-america.com/wp-content/themes/asahiamerica/images/button-background-effect.png") right center; border: none; border-radius: 60px; box-shadow: 5px 5px 5px 0 var(--Drop-Shadow, rgba(4, 0, 8, .25)); color: #fff; display: inline-block; float: right; font-family: "Work Sans"; font-size: 1em; font-style: normal; font-weight: 500; height: 3em; line-height: 150%; margin-top: 2em; padding: 10px 20px; text-align: center; text-decoration: none; transition: .5s ease-in-out; width: auto; } input.cta.nitro-lazy { background: none !important; } input.cta:hover { color: #0b85c5; } textarea { border-color: #0b85c5; } .required { color: #eb2a31; } .notes { font-weight: 300; margin: 0 0 -1em; padding: 0; }