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If you're experiencing a problem with one of our products, please fill out and submit the following service request form.    

For suggestions, or requests for improvements, please use our suggestion form.

Service Request Form

When you submit your service request report, it will be entered into our database for tracking purposes.
 

Please be as specific as possible when describing the problem.

  1. What product/service is this request for?


  2. Please enter a brief one-line description of the request:

    (example: "Can I Use the sterilising solution to clean instruments?")

  3. If there is a particular problem you are reporting, please describe it clearly:

     
  4. Please provide us with the following information in case we need to contact you:

Name:

Phone:

E-mail:   

       

 

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Copyright © 2006 Durotec. All rights reserved. Protection of Privacy Statement
Last modified: 04/07/06.