Product Repair Form

Business Name

Account Number

Position (*)

First Name (*)

Last Name (*)

Email (*)

Phone Number (*)

Invoice Number

Product Name (*)

Product Code

Serial Number

Subject of Problem (*)

Description of Problem (*)

Images and Attachments

After submitting this form you will receive an email from us confirming your submission.
If you have any images or attachments that may help our repair team please reply to this email with your images attached.
Please tick the below box if you intend on supplying any images or attachments so we know to expect them.
We highly recommend that you do.

I intend on sending images or attachments

Terms and Conditions (*)

Warranty repairs and replacements are done at the discretion of the manufacturer. Whether the product is replaced or repaired is at the discretion of the manufacturer.
Items under warranty may still carry a cleaning and service charge, items may be refused if blood or other unknown substances are on the unit.
Suppliers may charge a service and fault finding fee if a quote is requested and not accepted. Cancellation fee’s may apply as well.
Credits and replacements (where required or necessary) may not be approved until the repair process has been finalised.
All returns/repairs must be returned in a box & appropriate packaging. If the item arrives in non-appropriate packaging, the sender is responsible for any physical damage.

I accept the Terms and Conditions