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Repair Request

Please fill out this form before sending in a repair. Your request will be processed within one business day. The Handheld Systems Support Center will email you the completed form which must be included with the products being returned for repair.

Contact Information

First name

Last name

Title

Company

Address 1

Address 2

City

State

Zip Code

Country

Phone

E-mail

Shipping address if different from above

Product Information

Manufacturer

Model

Serial number

Description of the Problem and Comments

Priority

Payment Information

Payment Method

Card Number

Expiration Date

Cardholder Name

Security Code

Shipping Method

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(Credit card receipts and invoices are mailed separately from the shipment.)
 
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