Printer Repair Request

Fill out the form below and your Return Authorization will be emailed or faxed to you. (* indicates required field)
Customer Information  
*First Name:
*Last Name:
*Company:
*Address:
*City:
*State:
*Zip:
Fax:
*Phone:
*Email:

Products (* one is required)  
Model # Serial # Mfg. Case # In Warranty?
*Please describe the problems you are having
*Return authorization confirmation method: Email Fax