Repair Request Form — Service Mirka Canada

It is important to fill in all mandatory fields marked with a (*) before submitting your form.

Name *

First

Last

Company

Address *

Address (line 2)

City *

Country *

Province *

Postal Code *

Address Type *

Residential
Commercial

Phone *

Email *

Confirm Email

Owner *

Distributor
End User

mid

Serial Number *

Upload Tool Receipt *

Click or drag a file to this area to upload.

FOR ALL WARRANTY REPAIR CLAIMS, A COPY OF THE PROOF OF PURCHASE MUST BE UPLOADED. Any warranty claim submitted without a copy of the proof of purchase will be treated as a non-warranty repair and you will be sent an estimate for the repair. For non-warranty repair requests a photo of the tool can be uploaded.

Description of Problem *