Please fill this form out to start the process. Upon submitting this form you will be given an Repair Form Number for your request.
Please ship units to the following address, ensuring the Repair Form Number is displayed on the outside of the box. If you do not require a label, you can ship your TOUGHBOOK at your earliest convenience once you have completed the form and received an Repair Form number.
Full name*:
Street Address*:
Address Line 2:
City*:
State*:
Zip Code*:
Telephone*:
Email address*:
Company:
Model #*(e.g. CF-31SBLJGDM)
Serial # *(e.g. 1AAAA11111)
Warranty Status:
*Out of warranty units only: An additional $15 charge will be incurred for a box and label.
Brief Description of the Problem*:
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