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
Printed Flyer   Word of Mouth   Google   Bing   Yahoo!   Other Search   

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
Please Select...Dexis ClassicDexis Platinum or 601P SystemOther (we repair many other brands of sensor)

Sensor Serial Number (important)

If sensor is not repairable, should we reassemble?
Yes, even if not able to repair, please reassemble ($45 fee)   No, if not repairable, please do not reassemble   

Please detail exactly what items you will be shipping to us:

 
I have spoken with a technician or sales representative on the phone

 
I have not yet spoken to a technician, please call me to confirm