First we need to know some information about you. Fill in this section then click next to move on to the next section.
Name*
First Last
Email*
Phone*

Information about returning your machine or attachment once the repairs are complete.
Return shipping speed*
Please choose how you would like your machine shipped back to you. Please select International for outside of the USA.
Do you need a loaner machine?*
- YES - I WOULD LIKE A LOANER MACHINE IF ONE IS AVAILABLE
- NO - I DO NOT NEED A LOANER MACHINE
- MAYBE - I WILL REACH OUT TO THE MAGNAWAVE OFFICE
Return shipping address*
When your machine is repaired where would you like it shipped? Someone must sign for the machine when it arrives back to you.

Street Address Address Line 2 City State ZIP Code
Return shipping address*
When your machine is repaired where would you like it shipped? Someone must sign for the machine when it arrives back to you.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Terms & Conditions* By submitting this form, you agree to all terms and conditions including but not limited to the information below:*
- I agree to the Terms and Conditions
- I do not agree to the Terms and Conditions
- Loaner machines rent for $100 a week and are based on availability. The rental fee starts when the machine ships and ends when the machine is returned. Loaner machines must be returned within 3 business days upon the return of your machine.
- Shipping charges are your responsibility. MagnaWave is not responsible for returning a machine by a certain date, if you are in a rush, please choose expedited return shipping.
- MagnaWave and its suppliers are not responsible for lost or stolen packages, or damage caused during return shipping.
- All work will be completed in the order received and generally takes around 10-15 business days after being received, however, repair times can vary. Repair costs for equipment that is under the 3-year warranty will be covered unless voided or expired.
I agree that my machine will be cleaned before being sent in for repair. If not, a minimum fee of $125 will be charged for cleaning services*
- I agree

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