Electronic Repair Form

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Thank you for your interest in our repair services!
ALL REPAIR ITEMS WILL NEED TO BE SENT TO OUR BUFFALO NY LOCATION.

Healthcare Equipment repairs and most of the other repairs we offer are often done at a flat-rate cost and most prices can be found on our website by searching the SKU number. If you cannot find your part number, submit the form regardless and we will let you know if we are able to offer a repair. We will perform a complementary station repair if you are a new to us and have two or more of the same part number (excludes master units). Turn around time is about 5-10 business days from when we receive the product in.

Contact us at 888-556-3998 or support@becintegrated.com if you have any questions!

Thank you,

BEC Integrated Solutions

Contact Name for this REPAIR *

Please enter your first and last name

Company Name

Please enter the name of your company or medical facility, if applicable.

Account Payable EMAIL Address *

This field MUST include the email address of the person responsible for paying the invoice.

Shipping Address for System Return

Please provide your shipping address below.

Billing Address (if different than above)

Email Address *

Phone Number

Please include an ext. #, if applicable!

Product Description

Please provide us more information about your part(s). You may list multiple parts per form submission - just include all available serial numbers or a QTY below.

Manufacturer Name *

You may enter multiple manufacturers, separated by a comma.

SKU/Model Number *

You may enter multiple SKU's, separated by a comma

Serial Number

Please enter the serial number(s) of your component(s). Usually this is found on the rear of your device with a UPC code or beginning with "S/N:" - if unknown, put 0. If you have multiple stations, please list all serial numbers with a line-break in between.

Would you like a quote for Refurbished Parts if available?

Yes

Clear selection

Any additional comments?

You may explain the problems reported here, else we will perform a general diagnostic on the system's circuitry to find defects and report our findings to you, as well as an evaluated cost to repair.

Submit

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