UnguatorUSA.com

Pharmacy Contact Information

Pharmacy Name:
Contact Name:
Email:
Address:
City:
State:
Zip:
Country:
Phone:	() - Ext.
Fax:	() -

Unguator and Shipping Information

Model:
Serial Number:	How to find your serial number.
Estimated Ship Date
Purchased From:
Description of Problem:
Do You Need a Loaner:	Yes I need a loaner.
Is This a Warranty Repair:	Yes (Proof of Purchase is required before warranty repairs can begin, Please fax to (405) 329-6828)

Submit Service Request

Please click the Submit Request button to process the Service Request. Upon clicking this button you will be further instructed on the process of shipping your machine. Please make sure that you print the Service Reqest Form on the following page and include it in the box with the Unguator in need of repair.

Please make sure you review the following reminders to ensure that your service experience runs as efficient as possible.

- Please complete the service request in its   entirety

- Accurate information is required in order to   process the repair in a timley manner

- Make sure you include the Service Request   Form in the box with shipment

- Please be sure to securly package your   machine before shiping, if you have the   original box, use it. UPS does not cover   machines shipped in popcorn or shredded   paper.

- Please include proof of purchase if requesting   warranty repair