Sensor Repair Request Form

Please make sure you fill out the form below in it's entirety for the fastest turnaround. Once you have filled out the form below, please send the broken sensor to:

American SensorTech
(919) 924-8559
360 Raleigh St.
Holly Springs, NC 27540


Full Name

Email Address

How did you find our website?

Return Mailing Address

Contact Phone Number

To the best of your ability, please describe the problems you are experiencing with the sensor:

Which X-ray Sensor Model

Sensor Serial Number (important)

If sensor is not repairable, should we reassemble?

Please detail the exact contents you will be sending: Make your own website