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Image Inks UV Lamp Warranty Claim Form

Please print this form, complete and return it with the lamp in question. Failure to do so may result in the claim not being accepted.

This UV Lamp is manufactured to exacting standards and will give 1000 hours of useful life under normal conditions. In the unlikely event of failure after less than 100 hours, 100% credit will be given. If failure occurs between 100-1000 hours, credit will be prorated based on the number of hours in use. (ie failure after 500 hours would result in a 50% credit.

Contact Information
Date: _______________________________
Contact: _______________________________
Company: _______________________________
Address: _______________________________
City: _______________________________
State/Province: _______________________________
Zip/Postal Code: _______________________________
Phone: _______________________________
Fax: _______________________________
e-mail _______________________________
Lamp Operating Information
Installation Date _______________________________
Operating Hours _______________________________
UV Equipment: _______________________________
Mode of Failure Lamp fails to ignite            
Lamp fails to cure         
Other (describe)

This form is also available on our "downloads" page.

Last modified: March 29, 2004

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