Subject
(required)
Request Type
(required)
Receipt Needed
Market Feedback
Equipment Issue
Market Card Issue
Refund Request
Product Request
Equipment Type
Coffee Equipment
Kiosk
Cooler
Freezer
Microwave
Ice Dispenser
Water Dispenser
Other
Location Number
(required)
Asset Number
Peripheral
N/A
Barcode Scanner
Touchscreen
Credit Card Reader
Bill Acceptor
Printer
Fingerprint Reader
Other
Name Customfield
Name
(required)
Preferred Contact Method
(required)
Phone
Text
Email
Email
(required)
Phone Number
(required)
Refund Type
Paypal
Venmo
Market Card
Other
Market Card Number
Description
Attachment
RSG Line of Business
Markets
OCS
Vending
All
RSG Division
Continental
CoinOP
Cuyahoga
FranklinServices
Point of Contact
E-mail
Phone Call
Text
QR Code
Website