Demo: Warranty Repair or Replacement Requests

To schedule warranty repairs or replacement, please complete the form or contact CALPIA customer service directly at (916) 358-2733. One of our Customer Service Representatives will contact your agency directly to schedule the appropriate repairs or return.

Customer Information

Dispenser Repair or Replacement Request Form Test

First Name

Last Name

Organization

Address

City

State

Zip Code

Daytime Phone Number

Ext.

Cell Phone Number

Email

Alternate Contact Name

Alternate Phone Number

Alternate Email

Sales Order Number

Products to be Repaired

Four-Button Metal Quantity

Single-Button Metal Quantity

Plastic Quantity

Repair Description

Repair Location

Comments

File Upload

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California Prison Industry

Demo: Warranty Repair or Replacement Requests

Products to be Repaired