Repairs & Returns

Name(Required)

First Last

Office Name

Office Contact Person

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Fax

Dealer Purchased From

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Product Dropdown

Product(Required)

Reason for Return/Repair(Required)

Product Not Functioning

Product Not Performing to Standard

Wrong Item Ordered

Rental Loaner Return

Other

Explanation of issue(Required)

Is product under warranty? * If yes, please send in a copy of Dealer Invoice to Expedite warranty repair

Yes

Serial Number (if applicable)

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Do you need a shipping label? *Note: customer will be billed for Shipping

Yes

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Is a Rental/Loaner Needed?

Yes

CAPTCHA

INCLUDE A COPY OF THIS COMPLETED FORM WITH YOUR RETURN/REPAIR.

PLEASE SEND TO VECTOR R&D, ATTN: RETURN/REPAIRS, 2810 69TH AVE W, UNIVERSITY PLACE, WA. 98466.

Since 2001 we have been providing high performance products to high performing dentists through our exclusive dealer network.