Equipment Return Form
Please complete the form below for items you wish to return to AGX for repair. Fill out the form and press the Send button then print using your browser and include the form in the box with your return. Declined estimates will be charged £ 85.00 plus return shipment and VAT. All data is processed under AGXs Privacy and GDPR Procedures ( available on request ).

Your Details
Company/Name:
Postcode:

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

Product Details
Manufacturer:
Product Model:
Serial Number:
Purchase Date:
Contract No:

Description Of Fault


Additional Information/Requests



Important - Please ensure that adequate packaging is used, any locking mechanism is engaged and include all paper trays, media and power supplies

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PDF VERSION

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