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Please provide the Following Information.
* indicates required fields
Contact Details:
Note: If you plan on using a Credit Card for payment after the repair is complete, this should be your Credit Card Billing Address. If you wish, you can provide an alternate shipping address in the Payment Details section below.
First Name*
Last Name*
Company
Address 1*
Address 2
City*
State/Province*
Postal Code*
Country*
Phone*
Cell Number
Email*
Equipment Details:
Equipment Type*
GeoBeacon
GeoXH
GeoXT
GeoXM
JunoST
Nomad
ProXH
ProXRS
ProXT
Ranger
Recon
Other
Serial Number
Part Number
NOTE: CUSTOMER MUST SAVE ANY SETTINGS AND DATA THAT COULD BE LOST WHILE BEING SERVICED
Required by Trimble for ALL Trimble Warranty Repairs
Describe Failures:
Hardware Damage
Software Failure
Upgrade Your Equipment's Firmware/Software?*
YES
NO
Do You Require an Estimate Prior to Repair?*
YES
NO
NOTE: MINIMUM $120.00 CHARGE PER UNIT FOR ESTIMATE.
Unless under warranty.
Payment Details:
Method of Payment*
Credit Card
P.O.
Shipping Method*
UPS Ground
Expedite
(Expedite will incur $50.00 charge)
Return Shipping Address (If different from Billing Address provided above)
Please provide tax-exempt certificate, otherwise tax will be added.
Do you want an invoice sent with repaired equipment?*
YES
NO
Additional Questions or Comments
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