Vacuum Advance Exchange

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First Name*

Last Name*

Email Address*

Country*

Not listed countries are not eligible for Advance Exchange Service.

State

State/Territory

Part Number*

Serial Number*

Problem Description*

I declare the returning product is rebuildable and has not suffered total damage.*

Device is cleaned, decontaminated, free of hazardous residues & radioactive substances (inside&out)*

Was the device operated with radioactive substances / ECD?*

No

Yes, the wipe test for radioactive contamination is enclosed

I declare the above information is true & complete and the device is safe to send & receive.*

Please have an Agilent Representative contact me via email or phone.

Any other questions, comments or suggestions?

Yes, I would like to receive email updates about Agilent products, services and events.

For full details of how we will treat your information please view our privacy policy: www.agilent.com/home/privacy-policy

Yes, Agilent may share my data I submitted with this form with Agilent Authorized Distributors.

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Dear Customer,

You can initiate the Advance Exchange of your defective product directly from this page.

If you already have an account on the Agilent eStore, please provide the following information to receive a Ready-to-Use quote.

If you do not have an Agilent account, please register here, or contact us for further information on how to initiate your Agilent Advance Exchange.

DE-001615

Purchase the Agilent Advance Exchange