Repair

LeJeune Tool Repair Form

Use this form for any tool submitted for repair. One form per tool.

TOOL INFORMATION

Today's Date (required)

Tool Model Number (required)

Tool Serial Number (required)

Symptoms (check all that apply)
Not sureNo powerBroken triggerInoperable socketSparks when operatingIntermittent operationOther

Problem/Details (please add any information that may help us diagnose the problem.)

Choose where your tool will be serviced (required)
---LeJeune Bolt Co., 3500 West Highway 13, Burnsville, MN 55337 (Phone: 952.890.7700)LeJeune Bolt Co., 3655 Placentia Ct, Chino, CA 91710 (Phone: 909.529.7577)

CONTACT INFORMATION

Your Full Name (required)

Company (required)

Your Email (required)

Phone (required)

BILLING ADDRESS

Street Address

Address Line 2

City

State/Province (required)
---AL AlabamaAK AlaskaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFL FloridaGA GeorgiaHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaOH OhioOK OklahomaOR OregonPA PennsylvaniaRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming---AB AlbertaBC British ColumbiaLB LabradorMB ManitobaNB New BrunswickNF NewfoundlandNS Nova ScotiaNU NunavutNW North West Terr.ON OntarioPE Prince Edward Is.QC QuebecSK SaskatchewenYU Yukon

Zip Code

SHIPPING ADDRESS (required)

Ship to Billing Address (above)Ship to Alternate Address (fill in below)

ALTERNATE SHIPPING ADDRESS

Street Address

Address Line 2

City

State/Province
---AL AlabamaAK AlaskaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFL FloridaGA GeorgiaHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaOH OhioOK OklahomaOR OregonPA PennsylvaniaRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming---AB AlbertaBC British ColumbiaLB LabradorMB ManitobaNB New BrunswickNF NewfoundlandNS Nova ScotiaNU NunavutNW North West Terr.ON OntarioPE Prince Edward Is.QC QuebecSK SaskatchewenYU Yukon

Zip Code

COMMENTS