Equipment Follow Up Form

DuroVac® is dedicated to delivering exceptional products and service. If something goes wrong, your concerns are our top priority. Please complete the form below.

Customer Information

First Name
Last Name
Phone
Email
Company

Equipment Information

Product Name/Model
Serial Number
How long have you had the system?

Issue Details

Date of issue occurrence
Description of the problem and When did the issue start?
Frequency of the issue
Severity of the issue

Operation Information

Operating Conditions (Any external factors that may have contributed like temperature, humidity, type of materials being vacuumed)
Has the equipment been used differently from its original intended purpose? If yes, then provide more information
Usage Duration (Hours per day/week)