Service Request Form and Warranty Request Form

 

Send to:

Delta Regis Tools Inc
7370 Commercial Cir
Fort Pierce, FL 34951
Ph 772-465-4302 · Fx 772-465-4368
sales@deltaregis.com

To request service:

Include a copy of this form with the equipment when it is shipped. The shipping address can be found at the top of the form.

After receiving the equipment, you will receive an email containing the inquiry number and the list of items received. Following evaluation, a second email will be sent with a quote for the requested services.
 








    Tell us more about your Application:

    fastener examples









    YesNo


    Screwdriver Pick-upRobotic Pick-upCount & Dispense


    YesNo



    [radio* tool-orientation "Inline" "Right-angle" "Pistol Grip" "Other"]




    LinearArticulatedTelescopic


    YesNo

    Fastener size (diameter and length)*:

    Fastener material (e.g. steel, brass, etc)*:

    Assembled part/threaded hole material (e.g. steel, brass, etc)*:

    ESD Safe:

    YesNo

    Any soft gasket materials in the joint?

    YesNo

    Any lock washer or thread lock on the fastener?

    YesNo

    Is the fastener self-threading/tapping?

    YesNo

    Is there any prevailing torque (resistance) prior to the fastener seating?

    YesNo

    Approximate number of fasteners installed per minute*:

    Number of hours tool is used per day*:

    How is the tool being held*?

    HandheldFixture MountReaction Arm/Torque Arm

    Clearance limitations in workspace*?

    YesNo

    If yes, please specify:

    Product Under Warranty