Return Equipment Form

  1. Complete and submit the information below and we will be happy to send you a FREE incoming shipping label. (Keep a copy of your tracking number for your records.)
  2. Once your tracking number shows we've received your package you may contact us for your FREE estimate. (We will provide a written estimate by e-mail or fax.)
  3. Once we receive your approval we will provide you with an estimated repair turn around time. (If your repair is declined you simply pay return shipping costs).

FREE SHIPPING, FREE ESTIMATES, FULLY WARRANTED WORK

Contact Information
Company Name:
First Name:
Last Name:
Phone Number:
Fax Number:
Email Address:
Address:
City:
State:
Zip Code:
Country:
Equipment Information
Type of Equipment:  Dental Camera X-Ray Sensor Video Printer Other
Manufacturer:
Model:
Serial Number:
Problem or Symptom: