NOTE: If your company has a contract with us
please use our Contract Service Repair Form. 


Please complete the Printer Repair Form below. If it is a
depot repair we will send you a shipping label.  If it is a
local repair we will contact you as to the best time to
repair or pickup the printer.

   Contact Information  

Contact Name:

Company:

Email:

Phone:

Fax:

Address:

City/State/Zip:

Country:

   Account Information  

Please indicate how the repair will be paid?

Customer Account No:

Credit Card: VISA MasterCard Discover AMEX

We will contact you for your credit card information.

   Printer Information  

Printer Make:

Printer Model:

Please give a detailed explanation of the problem:

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