Printer Service Request Form | Digi-Trax Corporation

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Printer Service Request Form

You may also use our printable form and fax it to 847-465-9055. The printable form may also be sent via e-mail.

E-mail Address:
Printer Manufacturer
Model:
Serial Number:
Your Name:
Phone:
Failure Description:
Attention:
Return Shipping Information Company Name:
Address:
Address Line 2:
City:
State:
Zip:
Return Shipping Method:	My Own Carrier Ground 2nd Day Air Next Day Air
My Carrier Air Bill Number:
Insure Return Shipment?	Yes No
Insure Return Shipment Amount $:
Billing Information Company P.O Number:
Repair Limit $:
Attention:
Company Name:
Billing Address:
Billing Address Line 2:
City:
State:
Zip:
Special Instructions:

Ship your printer to:
Digi-Trax Services, Inc.
650 Heathrow Drive
Lincolnshire, IL 60069
Telephone: 847-613-2100 Fax: 847-465-9055
You may also use our printable service request form

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Printer Service Request Form

Rev. 3.0