Field Failure Form

Have you got a problem with a Yorkville product that you think we can fix? Fill out the form below and give us some information on the problem. Your report will be forwarded to our service / engineering department for immediate evaluation. Please be sure to fill out all fields. All requested information is important if we want to have a good chance of solving the problem.

We take every Field Failure Report seriously. Please note that the reports are read by the Company President.

NOTE: To see the service manuals for all of our products, click here.
* All fields required unless otherwise stated.

CUSTOMER INFORMATION

Name:

City:

State/Province:

Country:

Phone Number:

E-Mail Address:

Human Challenge: (Add 4 + 5)

PRODUCT INFORMATION

Dealer Name:

Dealer City:

Model:

Serial Number(s):

Please upload any photos of the problem (optional):
Note: Files must be less than 2MB each

Please detail problems found: