Repairs & Calibration

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Incoming Repair Notice

	Report an incoming repair or callibration by filling out the form below. Required fields are noted with an asterisk (*). To ensure a speedy turnaround time, all incoming repairs must be accompanied by an RMA number. YOUR RMA NUMBER WILL BE GENERATED AFTER CLICKING THE "SUBMIT" BUTTON on the bottom of this form. Please reference this number on your shipping carton. For returns outside of the United States, please contact our repair department via email: repairs@vibralign.com or by phone: (804)-379-2250.
Date (*)	Please enter valid date
Contact Name (*)	Invalid Input
Email (*)	Please enter valid email address
Organization Name (*)	Invalid Input
Address 1 (*)	Invalid Input
Address 2	Invalid Input
City (*)	Invalid Input
State (*)	Invalid Input
Zip Code (*)	Please enter zip code
Phone (*)	Please enter valid phone number - no dashed required
Fax	Please enter valid fax number - no dashed required
Serial Number (*)	Invalid Input
I received a Calibration Certification Notification from VibrAlign (*)	YesNo Invalid Input
Problem Description (*)	Invalid Input
Comments	Invalid Input
Please contact me via (*)	emailphone Invalid Input

Enter the following letters into the box to the right (*)	Invalid Input