» Support » Repair Request Form

Repair Request Form

For repair, complete this form and click submit.

If you have any problem, your request may also be
fax to 407-804-1002 or emailed to:

Repair Rates
Diagnostic: $129.00 Flat Fee
Labor:   $235.00 Per Hour

Remote Support Services: $235.00 / Hour (Min. 2 hours.)

Additional Information

Please enter any additional information regarding your request:

* Required Fields
Required Service(check one)

Warranty Non-warranty

First Name:*
Last Name:*
E-mail:*
Company:*
PO Number(N/A if unknown):*
Model Number(N/A if unknown):*
Serial Number:*
Brief Description
(required for all services)

Please enter any
information regarding
your request:*
Main Phone:
Other Phone:
Address Line 1:*
Address Line 2:
City:*
State/Province/Region:*
Zip/Postal Code:*
Country:
Preferred method
of response:

 
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Application #181
Process: Laser Annealing
Material: Tool Steel
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