Sensor Repair Work Order
Please make sure you fill out the form below in it's entirety for the fastest turnaround. Once you have filled out the form below, please send the broken sensor to:
360 Raleigh St.
Holly Springs, NC 27540
The best of your ability, please describe the problems you are experiencing with the sensor
Which Sensor Model
Please Select...Kodak RVG 5000Kodak RVG 5100Kodak RVG 6000Kodak RVG 6100Kodak TrophyOther, please see below
If other is selected above, please be specific. Please call us with questions.
Sensor Serial Number(s) if more than one, separate with commas
Please detail the exact contents you will be shipping to us below
I have spoken with a technician or sales representative on the phone.
I have not yet spoken to a technician, please call me to confirm
How did you find out about us?
Please Select...GoogleBingYahooWeb MagazineDental JournalDental ClassifiedsCraigsListOnline Forum
Internal Purchase Order (if applicable, leave blank otherwise)
Please expedite my order (fees apply) (48 hr turnaround)