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Equipment Return Form
Please fill in this form for any hardware products you wish to return to AGX for repair. All you need to do is fill out the form, press the Send button at the bottom, print and include the form in the box with your return.

Customer Details
Company/Name:
Postcode:

Address:
 
 
Town:
County:
Contact Name:
Telephone:
FAX Number:
Email:

Product Being Returned
Manufacturer:
Product Model:
Serial Number:

Contract/Warranty Repair
For warranty repairs, please enclose proof of purchase or returns number:
For Contract Repairs, please give contract number:

Description Of Fault


Additional Information/Requests


Important - please readPlease ensure that adequate packaging is used and any locking mechanism is engaged before shipping.

Please do not send software, cables or accessories.

Please return the product to the address below.

Please print this form and include it in the box when you send your return.
Please select an address.