SERVICE APPROVAL FORM

This form authorizes Bro Business to bill for services that are not covered
under the scope of your maintenance contract.  These services are anything
not directly related to your copier or printer hardware.

Please print and sign this form and fax to (866)244-1462
or email to mrasmussen@brobusiness.com

Thank you,
Bro Business Service Department


Business Name:________________________________________________

Address:_____________________________________________________

City:_______________     State:_______________     Zip:_______________

Phone:_______________________________________________________

Contact Person:________________________________________________




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Customer Signature                                                               Date