Warranty Advance Replacement Request

*All fields are required.

Customer Type	I am an End User I am a Dealer *  Click on one of the customer types to select it.
Email address	*  (we will send you a copy of your request)
Name	*
Street address	*
City	*
State	*
Zip/Postal	*
Country	(Select a country-- US & Canada Only) United States Canada *
Phone	*
Make	*
Model	*
Serial Number	*
Purchase Date	*
Date Code:	*  The date code is the 6 digit number located on the back of the unit. Example : 9M1408.
Detailed Problem description *
Please let us know how we can duplicate the problem *
	I understand that the standard method of shipment for a warranty replacement is ground, but I would like to pay the difference to expedite the shipping.
*	I understand that I will receive an invoice for the suggested retail price of the replacement unit. This is a legal debt that will only be relieved by making a payment in full, or returning the defective unit immediately upon receipt of the replacement unit. If I do not return my defective unit immediately or pay the invoice in full within 30 days of receipt, I understand that my account will become overdue and will be turned over to a collection agency without prior notice or obligation.