Palm Beach Tan Service Form

PBT Location*

Submitted By*

Your Phone*

Your Email Address*

Service Address*

Street Address Address Line 2 ZIP Code City State

Sauna Model / Product*

Communication Preference*

Warranty Part Requested

Bench

Qty

Bench - Moveable ADA

Qty

Bluetooth

Qty

Bluetooth #

Roof

Qty

Floor Insert

Qty

Chromotherapy

Qty

Door Handle

Qty

Door Handle - ADA

Qty

Floor

Qty

Keypad

Qty

Door Magnet

Qty

Glass Ceiling

Qty

Door Seal

Qty

Floor Socket

Qty

Front Full Spectrum Heater

Qty

Gasket - Heater Bolt

Qty

Gasket - Hinge

Qty

Heater Guards

Qty

Inside Light

Qty

Far IR Heater Panel

Qty

LED Light Strip - Inside

Qty

Magnet Plate

Qty

Power Supply

Qty

Speaker

Qty

Wood Slat - Back Wall Heater Guard

Qty

Wood Slat - Side Wall Heater Guard

Qty

Fast Caps - Screw Hole Stickers

Qty

Temp Sensor

Qty

Clearlight Virtual Tech - FaceTime Troubleshooting Call

Qty

Halo One Salt Therapy Unit

Qty

Salt Pod Holder

Qty

Charging Block & Cable For Halo One

Qty

Onsite Service Requested

Onsite Service

Sauna Tech Service

Electrical Tech Service

Check if needed

Description of the Issue

Details of the issue and steps taken, if any, to rectify the issue:

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