Product Return Request

To process your product return request efficiently please fill in the form below, then click Send. Please be sure to complete all the fields within the form to avoid a delay in processing.

NOTE: Submitting this product return request form does not guarantee or imply approval of a return authorization. Submittal of this form will send the necessary information to customer service for review. After your form is submitted you will be contacted within 1-2 business days. If you are not contacted after two business days please call 800.915.9930 option 3 to talk with a representative.

Below is a sample photo of a scanner to help you determine where you can find the Serial number of your scanner based on the model.

* = Required Fields
* First Name:
* Last Name:
* Primary Phone:	ext.
* Email:
* Item Model Number:
Software used with Ambir Technology hardware:
* Reason for Return:
Company Name:
* Product Use:
Title:
* Street Address:
* City:
* State:
* Zip Code:
* Country:
Purchased From:
Purchase Date:	mm/dd/yyyy
Serial Number:


	Please enter the characters you see in the box above. (required)
* Verification:	What's this?