Canon Broadcast Lens Repair Request Form

User Manual: Canon Broadcast Lens Repair Request Form Official Canon Service and Support, Canon drivers, Canon tech support and Canon warranty information.

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Canon

Professional Broadcast Lens Repair Form
Contact Information
Today's Date:

Company Name:
First Name:

Address 1:

Last Name:

Address 2:

Phone:

City:

Email:

State:

Zip Code:

Technical Contact
First Name:

Cell Phone:

Last Name:

Email:

Billing Information
Billing Acct:

Company Name:

Address 1:

First Name:

Address 2:

Last Name:

City:

Phone:

State:

Email:

Zip Code:

Shipping Information
Same as Bill to:

Shipping Co.

Company Name:

Shipping Acct:

First Name:

Address 1:

Last Name:

Address 2:

Phone:

City:

Email:

State:

Zip Code:

Product Information
Serial Number:

Model Name:
Is this a Warranty Request:
Proof of purchase required for warranty repairs

Yes

No

Date of Purchase:
Rush Repair

Date Needed by:

Describe Issue and/or Problems.

List any accessories you included for evaluation and how they relate to the issue(s).

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Canon

Professional Broadcast Lens Repair Form

Please include the following in your shipment:
1.

A copy of your Proof of Purchase. This is required for
in-warranty repairs

2.

This Professional Broadcast Lens Repair Form.

3.

Accessories that are associated with the problem. You can
also include accessories if you simply want them
evaluated, as well.

Shipping Instructions:
1.

Secure the equipment carefully in a hard shipping case
or a box with suitable packing materials to ensure
proper protection during shipping.

2.

Select a carrier that provides tracking information for
the package.

3.

Insure the package for the value of the product.

4.

Ship the package to the location nearest to you,
shown in the table.

The repair will take approximately 7 business days* from
receipt of payment. The 7 days does not include shipping time.

PLEASE SHIP YOUR PRODUCT
TO ONE OF THE FOLLOWING
CANON FACTORY SERVICE
LOCATIONS
Canon Broadcast Service & Support
123 Paularino Avenue
Costa Mesa, CA 92626
1-800-423-LENS (5367)
cabctvservice@cusa.canon.com

Canon Broadcast Service & Support
125 Chubb Ave STE 100N
Lyndhurst, NJ 07071
1-800-423-LENS (5367)
njbctvservice@cusa.canon.com

Canon Broadcast Service & Support
100 Park Blvd.
Itasca, IL 60143
1-800-423-LENS (5367)
ilbctvservice@cusa.canon.com

Notice: Canon reserves the right to dispose of products which
have been submitted to Canon for repair, but which remain
unclaimed after Canon has sent a final notification to the
customer that the repair has been completed or that such
repair cannot be performed. In the unlikely event that any
additional damage is found during the repair process due to
liquid/water, sand, corrosion or impact (such as dropping the
unit), a revised estimate will be sent to you for your review and
‘’’’’’’
authorization.
*Actual times may vary. Seasonal volume or repairs requiring
special parts may add more time.
Thank you for allowing us this opportunity to serve you.
Best Regards,
Canon Broadcast Service & Support

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