OmniCure® » Contact » I Need my Equipment Serviced

I Need my equipment serviced

All fields are required to be filled out.

First Name:
Last Name:
Company Name:
Title:
Ship to Address:
(Indicate the address where a repaired product would be returned to from EXFO)
City:
State/Prov:
Postal/Zip Code:
Country:
Tel Number:
Email:

Federal Tax ID (IRS) Number:
(For US customers only)

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Reason for return:

Calibration
Repair
Upgrade
Credit
Return of demo

Other / Details:
Product Name/Description: Quantity: Part Number: Serial Number: