Service Request - Electronica Médical

Please fill out the form below to submit your request for after-sales service. Your device’s serial number allows us to immediately locate its manufacturing record: it is listed on the label on the back of the audiometer.

1 You are

The user of the device
private practice, hearing center, hospital department, occupational health... A distributor or reseller
You submit the request on behalf of your client A technical center
that provides maintenance or metrology services

2 Your Device

Device serial number *

Label on the back of the device, or on the most recent calibration certificate.

At which retailer did you purchase the device?

Optional. This information helps us locate your file and respond to you more quickly. If you don't know, leave it blank.

Date of Purchase of the Device

Optional, but helpful: it is this date—not the date of manufacture— that determines the warranty. Keep your receipt; our customer service department may ask to see it.

3 Your Request

Nature of the request *

Helmet Model *

Please specify your request *

The more detailed your description is, the faster we'll respond.

4 Your contact information

Your school *

Contact Name *

Email address *

Phone

Rue

Postal code

City

Country

I agree to have this information used to process my after-sales service request. *

First, check your serial number to unlock the rest of the content.