Sensor Repair Request Form

Please make sure you fill out the form below in it's entirety for the fastest turnaround. Once you have filled out the form below, please send the broken sensor to:

American SensorTech
(919) 924-8559
360 Raleigh St.
Holly Springs, NC 27540


Full Name

Email Address

How did you find our website

Return Mailing Address:

Contact Phone Number:

To the best of your ability, please describe the issues you are experiencing with the sensor

Which X-ray Sensor Model

Sensor Serial Number (important)

If sensor is not repairable, should we reassemble?

Please detail exactly what items you will be shipping to us: Make your own website