Support Request Form
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Your Name *
Your Email Address *
Your Mobile Number *
Serial Number *
Serial Number of Product or Machine that you have questions or encountering some problems.
Date Issue Began
Date when you first notice that something is wrong or you are unsure of.
MM
/
DD
/
YYYY
I'm having a problem with: *
Please tell us in what particular feature or part of the machine you are encountering some difficulties. Example Printing the result, testing, ID Chip, Test Strip, etc.
Describe Your Problem *
Please explain the issue you're experiencing (with as much detail as possible). Which basically tell us what steps we need to take, what you expected to happen and what actually happened.
I allow Chemcare to contact me using the contact details I specified above for any further inquiry regarding my concerns.   *
Required
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