Name
*
First Name
Last Name
Customer No#
Order No#
*
Email
*
Phone Number
-
Area Code
Phone Number
Part No#
Qty to be Returned
Detailed Reasons
Part No#
Qty to be Returned
Detailed Reasons
Part No#
Qty to be Returned
Detailed Reasons
Part No#
Qty to be Returned
Detailed Reasons
Request:
Replacement
Refund
Note:
Replacement, warranty and return of all damaged and defective Xerox and Panasonic items will be handled directly by Xerox, USA and Panasonic, USA respectively.
Email
Submit
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