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I Need my equipment serviced

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First Name:
Last Name:
Company Name:
Title:
Ship to Address:
(Indicate the address where a repaired product would be returned to from EXFO)
Once you receive the repaired product from EXFO, will you be redirecting it to another country? Not Applicable
Canada
United States
Latin America
Europe
Africa
Middle East

City:
State/Prov:
Postal/Zip Code:
Country:
Tel Number:
Email:

Federal Tax ID (IRS) Number:
(For US customers only)

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Reason for return: Repair
Upgrade
Credit
Return of Demo
Lamp Failure

Product Name/Description: Quantity: Serial Number: