Repair request UK

1. Country Or Location *

2. Email address of the person raising the Repair RMA *

3. Full name of the person raising the Repair RMA *

4. Since this is a repair , which of the following are you considered to be ? *

Please select one of the following:

Distributor

Health Care Professional

Student

5. Your Organisation/ Company Name *

6.AddressLine1

7.AddressLine2

8.City

9.County / District

10.PostCode

11. Phone number (including country code) of the person raising the Repair RMA *

12.Please Select Product Range *

13.Select from product *

14.Product/ Part Number:

15.Serial Number (Located on device label)/Lot Number (Located on Packaging/ Shipping label): *

16. Number of Devices related to the repair RMA *

17.Purchase Order / Invoice Number

if known?

18.Date Of Purchase

19.Product Warranty *

In Warranty

Out of Warranty

Unknown

20.Did your product fail during use? *

Yes

21.Is the proof of purchase available ? *

i.e. images, pictures, x-rays, scans, videos or any other supporting documentation.

Yes

22. Please describe the issue you are experiencing with the product ?

23.Accessories included?

Yes

• Important! Keeler cannot be held responsible for equipment that is damaged or lost in shipping.
Therefore, we strongly advise that you follow these instructions carefully.

• Instructions

Please complete the form above and click 'Submit Form'.
Print the repair returns label and affix to the box.
Select a carrier that provides tracking information for the package.
Securely pack and ship the product.

An error has occurred. This application may no longer respond until reloaded. Reload 🗙