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Repair Return Form

Repair Return Form

"*" indicates required fields

1Repair Return

2Preview

Contact Information

Name*

Company*

Street*

City*

State*

Zip*

Direct Phone Number*

Email*

Please ship products for estimate to:

For Nakanishi Products:
NSK AMERICA CORPORATION
ATTN: INDUSTRIAL REPAIRS
1800 GLOBAL PARKWAY
HOFFMAN ESTATES, IL 60192

For Jaeger Products:
NSK AMERICA CORPORATION
ATTN: INDUSTRIAL REPAIRS
6611 BAY CIRCLE #165
NORCROSS, GA 30071

NSK America Corporation will evaluate your claim and provide a free estimation.

Product Model

Serial Number

Review Type

Description of Issue

Product Model	Serial Number	Estimate or Warranty	Description of issue	Action

*Warranty claim must include valid copy of purchase or repair invoice.

Contact Information

If you would like your repair estimate to go through an NSK Authorized Distributor, please fill out the fields below:

NSK Authorized Distributor

Distributor Branch Location

Distributor City, State, Zip Code

Distributor Contact Name

Distributor Contact E-mail Address

Distributor Contact Direct Phone Number

Name: {Name:9}
Company: {Company:10}
Email: {Email:16}
Phone: {Phone:15}
Address: {Street:11}, {City:12}, {State:13}, {Zip:14}
NSK Authorized Distributor: {NSK Authorized Distributor:19}
Distributor Branch Location: {Distributor Branch Location:20}
Distributor City, State, Zip Code: {Distributor City, State, Zip Code:37}
Distributor Company Information: {Distributor Contact Name:38}
Distributor Contact Email: {Distributor Contact Email:23}
Distributor Contact Phone: {Distributor Contact Direct Phone Number:24}

A COPY OF THIS FORM WILL BE SENT TO YOUR EMAIL. PLEASE PRINT THE PDF AND SEND IT BACK WITH YOUR PRODUCT(S).

Please retain a copy for your records.

PLEASE NOTE: In the event that we are unable to garner a repair response in 30 days, we will return your items to you unrepaired.

Repair Return Form