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Dear valued Client!

Thank you for using Polimaster’s products. In order to provide you with efficient repair service please, fill out the repair form below. All private information transmitted during ordering is secure and encrypted and therefore cannot be accessed by unauthorized parties. We will process your order and send estimated cost by e-mail soon after we receive your instrument(s) at our repair facility.

All * marked fields are required.
Access Key
Access Key:*
Contact Information
First Name:*
Last Name:*
Company:
Street:* Appt.#:
City:*
Country:*
State:* ZIP:*
Business phone:* Fax:*
E-mail:*
Product Information
Model:* Serial Number:* Problem Description:*
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