PGH Pinball Repair Service Request Form
Please fill out this form and someone will reach out to you within 1-2 days. If you would like to include any photos, you can email them to nick@pghpinball.com

How we use this information. 
We at Pittsburgh Pinball utilize this form to obtain customer information for the purposes of invoicing. Rather than taking your information over the phone, where miscommunications or misinterpretations can occur, we have our customers fill out this form so that there can be no errors. If you have any questions, please email nick@pghpinball.com
Sign in to Google to save your progress. Learn more
Your Name (First & Last) *
Your Telephone Number *
email address *
Address where machine is located, please include the Zip Code *
Machine Manufacturer *
Machine Title (include Mfg for arcade games) *
Explanation of the issue(s) your machine is experiencing *
Last time your machine was serviced. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report