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First Name (required)
Last Name (required)
Primary Phone (required)
Machine Number (required)
Floor Number (required)
Machine Type (required)
--Washer ProblemsDryer ProblemsCash Machine ProblemsCredit Card Machine Problems
Description of Problem (required)
---Washer Full of WaterDoor Handle Not ClosingSoap/Bleach Compartment CloggedMachine Did Not StartWasher Not SpinningDoor Gasket Leaving MarksClothes Stuck in the MachineOther
---Dryer Not Getting HotDoor (Not Closing)Machine Did Not StartOther
---Not Accepting MoneyNot Adding Value To CardLaundry Card JammedBill (Jammed)Out of CardsOther
---Not Reading Credit CardsNot Adding Value To CardLaundry Card JammedCredit Card JammedPhone (Line is Down)No Receipt GivenOut of CardsOther
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