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Case Request Form
Case Request Form
Customer or Dealer?
*
Customer
Dealer
Dealer Name
Dealer Location
Customer Name
*
First Name
Last Name
Customer Phone Number
*
Please enter a valid phone number.
Customer Email
*
example@example.com
Company Name
*
Return Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please select type:
*
Repair
Software Update / Upgrade
Transmitter Evaluation
Parts (For Substitutions or Replacements - Not for Promo Items)
Repair Section
Loaner Needed?:
*
Yes - needs Loaner Agreement sent
No loaner requested at this time
Loaner Ship-to Address
*
Street, City, State, ZIP
Is the billing address/contact the same as above?
*
Yes
No
Billing Contact Information:
*
Shipping type (charges may apply for expedited options)
*
Ground
Next Day Air
Delivery by Salesman
Saturday Delivery:
Yes (Additional Charges may apply - Subject to Local Service)
Locator Product being sent:
*
Please Select
Mag3
Mag3S
Mag5S
Mag6
Mag8
Mag9
MagX COR
MagX PRO
Does the customer bore log?
*
Please Select
Yes
No
Does the loaner need to run an Echo 75XF?
*
Please Select
Yes
No
Locator Product being sent for updates/upgrades:
*
Please Select
Mag3
Mag3S
Mag5S
Mag6
Mag8
Mag9
MagX COR
MagX PRO
Update to Mag 3S? (WILL BREAK COMPATIBILITY WITH ECHO 1 AND 2S)
*
Please Select
Yes
No
Will the customer need to purchase an Echo 50?
*
Please Select
Yes
No
Upgrade to Mag 8X?
*
Please Select
Yes
No
Upgrade to MagX PRO?
*
Please Select
Yes
No
Do you have an assigned Upgrade RMA? (X####)
*
Please Select
Yes
No
Please list assigned Upgrade RMA#
*
Is the issue with:
*
Receiver
Display
Both
Receiver S/N
*
Display S/N
*
Please list brief description of issue:
*
Are additional items e.g. Transmitter(s) being sent with the unit?
*
Yes
No
Quantity of Transmitter Units being sent
*
Transmitter Type
*
Please Select
Echo ST - 2000107
XMini - 2000900
Echo 1 - 2000089
Echo 2s - 2000134
Echo 50 - 2000202
Echo 50X - 2000202X
Echo 50XF - 2000202XF
Echo 60 - 2000203
Echo 70 - 2000204
Echo 75XF - 2000321
Echo 90 - 2000205
Echo 110 - 2000206
Transmitter S/N
*
Please provide brief description of issue:
*
Transmitter Type #2
*
Please Select
Echo ST - 2000107
XMini - 2000900
Echo 1 - 2000089
Echo 2s - 2000134
Echo 50 - 2000202
Echo 50X - 2000202X
Echo 50XF - 2000202XF
Echo 60 - 2000203
Echo 70 - 2000204
Echo 75XF - 2000321
Echo 90 - 2000205
Echo 110 - 2000206
Transmitter S/N #2
*
Please provide brief description of issue:
*
Transmitter Type #3
*
Please Select
Echo ST - 2000107
XMini - 2000900
Echo 1 - 2000089
Echo 2s - 2000134
Echo 50 - 2000202
Echo 50X - 2000202X
Echo 50XF - 2000202XF
Echo 60 - 2000203
Echo 70 - 2000204
Echo 75XF - 2000321
Echo 90 - 2000205
Echo 110 - 2000206
Transmitter S/N #3
*
Please provide brief description of issue:
*
Transmitter Type #4
*
Please Select
Echo ST - 2000107
XMini - 2000900
Echo 1 - 2000089
Echo 2s - 2000134
Echo 50 - 2000202
Echo 50X - 2000202X
Echo 50XF - 2000202XF
Echo 60 - 2000203
Echo 70 - 2000204
Echo 75XF - 2000321
Echo 90 - 2000205
Echo 110 - 2000206
Transmitter S/N #4
*
Please provide brief description of issue:
*
What type of batteries are being used?
*
Please Select
UMAG Purple Batteries
UMAG Rechargeable Batteries
Other
Parts (specify quantities below):
*
1040165 - Purple Lithium Battery
1000296 - Rechargeable Echo Cell Battery
1040169 - Rechargeable Echo 75XF Battery
3000126 - Echo Cell Kit
2000088 - Mag 3/5/8 Receiver/Display Battery
2000261 - Mag 9 / X Pro / X Cor Receiver/Display Battery
1090001 - Locator Charger
1090001-9 - Mag 9/X Charger Kit
Other
Please specify quantities from above, and brief description of issue:
*
Submitted by:
*
First Name
Last Name
Pictures (if applicable)
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