XLTEK Stimulator Repair

There’s no advance payment required. The bench fee covers unlimited labor, parts are additional.

As an alternative to the form, you can download this PDF, print, and fax it to us.

* name:

* shipping address:

* phone:


* email:

* Manufacturer, Model and Serial Numbers:

* instrument problems:

Credit Card Holder’s Name:

Credit Card Number :

Expiration Date:

Security Code:

Statement Mailing Address :