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Repair Service Request

KEYENCE CORPORATION OF AMERICA

500 Park Boulevard, Suite 200, Itasca,
IL 60143, U.S.A.
Phone: 888-539-3623 Ext: 28139
E-mail: PRDQ@keyence.com

Dear Customer,

In order to ensure a prompt response to your request please enter your information into the following form. After you submit the form, KEYENCE will review the information and contact you as soon as possible about the next steps to resolve your problem. Please do not send products to our warehouse or the repair department without prior authorization.

Company (required)

Contact Person (required)

Address1 (required)

Address2 (required)

city (required)

state (required)

zip code (required)

phone number (required)

Fax

E-mail address (required)

Confirm E-mail address (required)

Your Customer Number

Product(s) Please fill in at least one of the boxes below. (required)
Controller

Head or Camera

Serial Number(s)
Controller

Head or Camera

Purchase Date

Detailed error description (required)

Application