Home » Contact Us » Service Request – Toll Free: 1-833-806-8066 Please fill out this form and a BellatRx service team member will be in touch with you shortly. "*" indicates required fields Name* First Last Company*Phone*Email* Select Service*PartsField ServiceRemote ServiceMaintenanceTrainingOtherMachine Model / Serial Number Service Request DetailsThis field is hidden when viewing the formGCLIDPhoneThis field is for validation purposes and should be left unchanged.