Warranty Support Form

    Lufkin backs its products with our standard warranty to ensure peak performance and your satisfaction. If any of our products do not meet your expectations, we are here to help.

    To receive immediate assistance, fill out the required form below or contact your sales representative.

  1. * Required Fields
  2. First Name*
    Please enter your first name.
  3. Last Name*
    Please enter your last name.
  4. Company*
    Enter Customer Name
  5. Email*
    Please enter a valid email address.
  6. Telephone*
    Enter your phone number, including area code
  7. Lufkin Sales Representative*
    Enter Sales Representative
  8. Conditional Purchase Order*
    Enter Conditional Purchase Order

    9.    No equipment will be accepted for return without a customer's conditional P.O.
  9. Unit Type*
    Invalid Input
  10. Unit Designation*
    Enter Unit Designation
  11. Serial Number*
    Enter the Serial Number
  12. Sales Order Number*
    Enter Sales Order Number
  13. Original P.O.*
    Invalid Input


  14. Date Unit Received*
    Enter Date Unit Received
  15. Unit Installation Date*
    Invalid Input
  16. Installed By*
    Enter who installed the unit
  17. Time in Operation*
    Enter length of time in operation
  18. Part Disposition*



    Select Disposition

  19. Date Removed from Service
    Enter date removed

    20.  

    For single components, please include part numbers and description
  20. Part Number Involved
    Invalid Input
  21. Part Involved Description
    Invalid Input
  22. Description of Issue(s)*
    Please describe your issue(s)

    23.  

     

     

    Attach supporting images and/or documents. (Limit 2MB per file)
  23. Attachment 1
    Invalid Input
  24. Attachment 2
    Invalid Input
  25. Support Requested*
    Let us know what service you are requesting
  26. Please type the characters
    Please type the characters
    Invalid Input
  27.