Service Scheduling Form

Please complete the Schedule Service Form and press the Submit button to send your request. DO NOT SEND YOUR EQUIPMENT UNTIL WE HAVE CONTACTED YOU TO CONFIRM YOUR SCHEDULED SERVICE AND HAVE GIVEN YOU A SERVICE NUMBER (or "RMA"). We reserve the right to refuse any equipment delivered to us without a valid service number.

Rest assured that the information you provide us will only be used to send you the information you requested and will not be shared with third parties outside our network of distributors and representatives.

* Your Name:

Company:

Address:

* City:

* State/Province:

* Zip/Post Code:

* Country:

* Phone:

* Email:

* Equipment Model:
CAPS™ Lite	CAPS™ Professional

* Serial Number:

* denotes a required field

How would you like us to contact you?

Phone Email

What time of day is best to reach you by phone?

Morning Afternoon