Equipment Malfunction Form

Equipment Malfunction Form

Complete this form if you are experiencing issues with your device(s). Please be sure to provide details on the issue you are experiencing, as well as pictures and/or video, and the serial number of the device(s). Once submitted, we will return your inquiry with a solution within 5 to 7 business days.
Full Name*

First NameLast Name
Business Name:*
Email Address*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please describe the issue you are experiencing with your device:*
What is the serial number listed on your device:*
Please upload pictures and/or videos of the issue you are experiencing:*

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By submitting this form, you are giving your express written consent for Ultra Skin Services to contact you regarding our products and services using email, telephone, or text - including our use of automated technology for calls and periodic texts to any wireless number you provide. This consent is not required to purchase goods/services. Message and data rates may apply.
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