Schedule a Service Appointment at Cummins Northwest, LLC

Schedule Your Service Appointment Online:

• Scheduling service has never been easier with our new online appointment scheduling form.

• Both "In-Shop" and "Mobile" (at your location) service is available for your convenience.

• Please use the form below to schedule service for your Cummins equipment.

• While filling out this form, please provide as much detail as possible so that we may better assist in fulfilling your need.

• You will be notified by your Customer Service Represenative within the next business day to accommodate your request

• All fields marked with an asterisk (*) are required fields.

Your Information:
Account #:
Company Name:
*First Name:		*Last Name:
*Street Address:
*City, St, Zip:	,
*Daytime Phone:		Evening Phone:
Cell Phone:		Fax Number:
*Email Address:
*Preferred Contact Method:
Vehicle/Equipment Information:
*Type of Vehicle or Equipment :
*Vehicle/Unit Manufacturer:
Engine/Generator Year:
Engine/Generator Model:
Engine/Generator Serial Number:
Number of Miles or Hours:
Service Information:
*Service Center:
*Service Type:	In Shop Mobile
*Date:		*Time Range:
*Describe Your Service Request