Support / Repair Request

Before shipping your Durst product to us for repairs, we request you fill out the following form for our records.

Ensure you PACK YOUR ITEMS appropriately.
Durst Industries WILL NOT accept liability for any TRANSIT DAMAGE INCURRED UPON TRANSPORT TO US

Service / Repair Request

Business Name *

Name (required) *

First

Last (required) *

Last

Email (required) *

Phone (required) *

Shipping Address

City

State/Province

Zip/Postal

Country

Item Model Number: *

Serial Number

Issue / Fault / Problem:

Security question: What is 4 + 3?

Please answer 7 to prove you are human and for the message to be sent properly.

Please tick off items you are sending us

Lead set

Battery Charger, please add serial numberBattery Charger, please add serial number

Si eres humano, deja este campo en blanco.