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Repair Request

The form below is provided to assist our customers in the return of equipment for service repair and/or upgrading. It is requested that you fill in the top portion of the form.

Clicking on the "Repair Request Form" link below will open a PDF file in your web browser if you have Adobe Reader installed. This form can be filled out in your web browser and submitted to us by pressing the submit button in the form. You could also fax the form to 770-435-0402 or insert it into the shipping container with the equipment you are returning.

It is suggested that you keep a copy for your records. If there are any questions or help is needed with this form please call 770-435-3309. When calling to check the status of your equipment, having your account number handy will greatly speed up the process.

Please do not use any dashes - or slashes / \ when filling out the form or you will get an error message.


Thank you,

Cobra Technologies™

Repair Request Form