Handpiece repair request

Tell us which handpieces need service.

Add one unit or several. After submission, you receive the next shipping or San Francisco service step.

Complete this form to prepare an email request. Review and send it to airdriventech@gmail.com in your email app. You can also call 925 391-0784.

Dental practice contact information

Dental practice name

Contact person

Phone

ZIP code

State

City

Practice shipping address

How will you send the handpieces?

Handpieces

Estimate and shipping preferences

Estimate preference

Shipping preference

Practice notes

Sterilization confirmation required.
I confirm that all handpieces included in this shipment have been heat sterilized/autoclaved in accordance with applicable CDC and OSHA guidance and are safe for handling and shipping.

After the request is reviewed, shipping information is sent electronically. Carrier charges are shown separately.