Local Service Request Form

Service Request Form

Contact Information

First Name
Last Name
Company Address
City
State/Province
Zip/Postal
Country
What Kind of Device Do You Need Serviced? *

TierFive is currently only Authorized to service Canon Document Scanners and Contex Large Format Scanners. If you need help with any other kind of device, printers, copiers, cameras, or multifunction devices, please visit the Canon Service Repair Portal or call Canon Service at (866) 510-1335.

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