Service Request - Coyote - Milestone Distributors

Tell us about yourself and the product you need serviced.

Email*
Contact email address. This will be the primary way we will make contact with you.
Owner's First Name*
First name of the owner.
Owner's Last Name*
Last name of the owner.
Contact Name
Name of the person to contact if different than the owner. Not required.
Contact Title
Title of the person to contact. Not required.
Company Name
Name of the company to contact. Not required.
Phone Number*
A phone number where you can reached.
Alternative Phone Number
An alternative phone number.
Address*
The street address where service is needed.

Street Address Address Line 2 City State ZIP Code
Brand
Select your brand of the product to be serviced
Model Number*
The model number for the product to be serviced.
Serial Number*
The serial number for the product to be serviced.
Date*
The date of purchase for the product to be serviced.
MM slash DD slash YYYY
Issue with Product*
Tell us what issue you are having with your product. Max 500 characters.
Upload Proof of Purchase
Proof of purchase should be included for all Warranty service requests. Upload a file from your computer.
Accepted file types: jpg, gif, png, pdf, jpeg, doc, Max. file size: 768 MB.
Promo Code
If you were provided with a promo code for a service request, please provide it here.

Service Request – Coyote