Industrial Tubes Warranty

Tubes must be prepaid with a completed Tube Service Report describing the reason for return, operating conditions, Installed and removal dates in order to recieve Warranty consideration.

* Required Fields
Salutation
* First Name
* Last Name
* Phone:
* Email:
* Date:

	* Dealer * OEM
* Dealer/OEM Name:
Address:
City:
State/Province:
Postal Code:
Country:
Email:
Fax:

* Institution: (Where Tube Installed)
Address:
* City:
* State:
Postal Code:
* Country:
Fax:

Return Tube Information
* Insert Model:		* Serial Number:
Heat Exchanger Model:		Serial Number:
Scanner Model:		Serial Number:

X-ray Tube Operation or Heat Exchanger (if returned separately): Anode Rotation Speed
* Date Removed:	Ex. MM/DD/YYYY	* Scan/Seconds Count:
* Date Installed:	Ex. MM/DD/YYYY	* Scan/Seconds Count:
		* Total Scans/Seconds:
Estimated Scans @ 60Hz
Estimated Scans @ 180Hz

Techniques at Time of Difficulty
* kV	* mA	* Time
Techniques Most Frequently Used
* kV	* mA	* Time

* Describe in detail the circumstances and reasons for the removal and return: (if the cause of failure was arcing: Describe the arcing pattern and also record the frequency of arcing)

Replacement Tube
* Insert Model:		* Serial Number:

Additional Comments:

Email by clicking Submit or Print and Fax to 801.973.5050