Support - Product Return Form
  1. If requesting to return a product, please complete all information and submit this form. Fields marked with * are required. This will allow us to provide a faster and more efficient service.
  2. The form must be filled ON-LINE and submitted by pressing the button SUBMIT . Once all datas have been verified, press the CONFIRM button until the page ready to be printed appears .
  3. A confirmation email with a PRN (Product Return Number) will be sent to the email address you provide.
Sender
Name*: Company / Institution:
Address: ZIP/Postal Code:
City: State/Province:
Country: Phone:
Fax: E-mail*:
Return Shipment to:
If the address is the same as above:
Name*: Company / Institution:
Address: ZIP/Postale Code:
City: State/Province:
Country: Phone:
Fax: E-mail:
Product Description
Product # 1
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 2
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 3
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 4
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 5
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 6
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 7
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 8
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 9
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Product # 10
Model Name*: If model is not in the list,
insert Model Name:
Model S. N.*: Experiment*:
( Use only Numeric Characters ) Name of the physics experiment where the product
is used. If necessary, indicate "Other Uses".
Special request:
Do not upgrade firmware
Failure Description* Repair Location
CAEN Repair Centeron Customer Site
c/o CAEN S.p.A.
Via Vetraia, 11
55049 Viareggio (LU)
Italy
Comment
Attach Document to Question:
Disclosure for processing of personal data
Read the statement on disclosure of personal data I accept