Repair Form
Please call Sensaphone Technical Support prior to sending your Sensaphone in for repair. 610-558-2700, Ext. 260
Name
Company Name
E–Mail Address
Daytime Phone
Fax Number
Address
City, State, Zip
Sensaphone Model
Serial Number
Application
Purchase Date
Please check any sensors your Sensaphone is configured to monitor:
Temperature
Humidity
4-20mA
Sensaphone Supplied Power
Externally powered
0-5v
Dry Contact (ie Motion, Smoke, Reed Switch, Relays
Other (please Specify)_________________________
To expedite the service of your repair, please include a detailed description of the problem you are experiencing with your
Senaphone product.
Upon inspection of your Sensaphone, you will be notified with an estimate of your repair. You may pay via credit card (Visa,
MasterCard, American Express, Discover), Check, or C.O.D. For information regarding a repair, please contact the Customer
Service Department at 610-558-2700, ext. 214.
Ship to:
SENSAPHONE® • 901 Tryens Road • Aston, PA • 19014 • PH: 877-373-2700 • F: 610-558-0222 •