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Pro Sensor Returns
Customer Information
Contact Name (Authorized Representative)
(Required)
Practice Name
(Required)
Email Address
(Required)
Phone Number
(Required)
State/Region
(Required)
Alabama
Alaska
Alberta
American Samoa
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California
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Connecticut
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District of Columbia
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Puerto Rico
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South Carolina
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Tennessee
Texas
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Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
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Armed Forces Europe
Armed Forces Pacific
Purchase Information
Invoice Number
(Required)
Sensor Serial Number
(Required)
Date of Purchase
(Required)
MM slash DD slash YYYY
Untitled
(Required)
I confirm this request is being submitted within 30 days of the purchase date.
Reason for Return
Reason for Return
(Required)
Image quality did not meet expectations
Software compatibility issue
Workflow integration issue
Doctor preference
Staff preference
Price/budget
Switching to competitor
No longer needed
Other
Other Return Reason
Product Confition Confirmation
Condition
(Required)
The sensor is in good working condition.
There is no physical damage beyond normal evaluation use.
All originally included accessories will be returned.
Accessories Included in Return (check all that apply)
Accessories
(Required)
Sensor
USB Cable
Positioner Kits
Original Packaging
Other
Other Accessory
Shipping & Refund Acknowledgment
Consent
(Required)
I understand I am responsible for return shipping costs.
Consent
(Required)
I will ship via FedEx or UPS with active tracking.
Consent
(Required)
I understand risk of loss remains with me until received by DentiMax.
Consent
(Required)
I understand refunds are subject to inspection and processed within 2–4 weeks.
Consent
(Required)
I understand original shipping costs are non-refundable.
Shipping Method Selection
Shipping
(Required)
I will arrange my own FedEx/UPS shipment.
I request a DentiMax prepaid return label (cost will be deducted from refund).
0
$0.00
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