ORIGINAL PURCHASER INFORMATION

Contact Name

Phone

Address

Email

City, State, Zip

Dealer

  Customer Name

STE Trailer Serial #

  Detailed Description of the Issue / Problem

  File Upload

  Detailed Description of the Proposed Resolution

  File Upload

Estimated Repair Costs:

Estimated Labor Hours

Labor Hour Rate

Estimated Material Cost

Shop Misc. Material

LIST OF MAJOR PARTS NEEDED TO REPAIR THE ISSUE, WHEN APPLICABLE:

Item

Price

Item

Price

Item

Price

Item

Price

Item

Price

Item

Price

Item

Price

Item

Price

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Price

Item

Price

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