Sensor Repair Inquiry
Please make sure you fill out the form below in it's entirety for the fastest turnaround. Once you have filled out the form below, please send the broken sensor to:

American SensorTech
(919) 924-8559
360 Raleigh St.
Holly Springs, NC 27540
United States

Full Name

Email Address

How did you hear about us?

Phone Number and Time of Day to Contact:

Return Mailing Address

The best of your ability, please describe the problems you are experiencing with the sensor

Which sensor model are you sending:
Please Select...Kodak RVG 5000Kodak RVG 5100Kodak RVG 6000Kodak RVG 6100Dexis PlatinumGendex GXS-700Schick CDROther, see below

If "other" above, please specify. Call us with questions

Sensor Serial Number (one)

Sensor Serial Number (two)

If sensor is irreparable, should we reassemble?
Yes, even if not able to repair, reassemble ($45 fee)   No, if not repairable, please do not reassemble   

Please detail the exact contents you will be shipping to us below

 
I have spoken with a technician or sales representative on the phone.

 
I have not spoken with a technician or sales representative on the phone. Please call to confirm.