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Repair / Cleaning / Calibration Request Form - Contact a repair specialist today!

Please complete the the form below, a Paragon repair specialist will be contacting you, shortly - Thanks.

Note: Fields in Red are required.

Contact Information:
 
Name: 
Company: 
Address: 
City: 
State / Province: 
Country: 
Postal Code: 
Phone Number: 
Fax Number: 
E-mail Address: 
 
Note: If you purchased this unit from Paragon please provide Purchase Date, Invoice PO# and Paragon Sales Rep.
 
Purchase Date: 
Invoice SO#: 
Paragon Sales Rep: 
 
Product Information:
 
Manufacturer:  Part Number:  Serial Number: 
 
Included Accessories: (Only if shipping with this unit.) 
 
Please provide a brief description of service required or problem with unit.

 
Repair / Cleaning / Calibration Terms:
 
Upon receiving this form, a Paragon repair specialist will be contacting you.
Note: Please wait until you receive further instructions before sending any items to Paragon.
 

Yes, I understand and accept these terms.