Service Request

Professional Equipment Maintenance & Repair

Keep your operation running at peak performance. Please fill out the form below with your equipment details and desired service window. Our certified technicians will review your request and contact you shortly to confirm your appointment and discuss your maintenance needs.

Service Department

Authorized Service Center • Delta, CO

Direct Line

(970) 874-0612

Customer Contact Information

First Name (*)

Last Name (*)

Email Address (*)

Phone Number

Physical Address

City

State

Zip Code

Equipment Being Serviced

Make (*)

Model (*)

Year (*)

Serial Number #

Hours / Meter

Describe Service Needs

Service(s) Needed (*)

Preferred Appointment Date (*)

* Our team will contact you to confirm availability.

Prior Service History

Have we Serviced your Equipment Before?

Yes No

Approximate Date of Last Service

Work Previously Done

Security Verification

12 + 80 = ?

What is the sum? (*)

Secure Submission • Varner Equipment Internal Use Only