Dental Equipment and Supplies from Atop Dental

Repair Request Form

Please note: Only online successfully submitted form will be accepted. We don't accept any service requests by fax or email.

Return Repaired Handpiece(s) to

Contact Person *

Office Name *

Phone *

Email *

Country *

Postal Code *

Province(State) *

City *

Street *

Your return item

Remove Item

Handpiece example:

Product/Model Number

Serial Number

Detailed Description of the Problem

Yes, it's Under Warranty

Add Return Item

Buy checking the following statements, you agree to the Atop Repair terms and conditions:

I agree that all items are securely packaged in a shipping box. I agree to a $49 inspection fee for each item that is not under warranty and all repairs and fees must be paid by credit card regardless of account payment method. I agree to freight charges for both ways, if a shipping label is provided to ship my items to Atop Dental for repair. (Fee will vary from province to province) GTA area: $10 ONTARIO: $13 QC: $14 BC: $16 OTHER: $15 USA: $25USD. Customers may ship back items with a courier of their choice but will be responsible for any fees, duties, and taxes that may apply.

Additonal Information

Repair quotations are valid for 30 days only. If we don't receive a response after 30 days, we will DISPOSE your product(s).
Parts used to repair your product will be free from defects in materials and workmanship for period of 30 days.

If not under warranty, please select one: