Xerox Service Agreement Validation

Important: Your product must be in working order prior to purchasing a Service Agreement.

If your product has not been covered by the original manufacturer's warranty or a Xerox Service Agreement for 30 days or more, you must submit a product Configuration Page. For ease of processing, please write your Service Agreement Item number and your Service Agreement Validation number on the configuration page and send to Xerox using one of the following methods:

Fax : 503-682-9677
Mail : Xerox Corporation
          Attn - Service Sales
          P.O. Box 1000 M.S. 7060-732
          26600 SW Parkway Ave.
          Wilsonville, OR 97070-1000 USA

Please do not use this form for service requests.

To get back to the Services Home Page click here.

An asterisk * indicates a required field.



CUSTOMER INFORMATION

* First name:


* Last name:


* Company Name:


* Email Address:


* Phone Number (include area code):


* Fax Number (include area code):


* Reseller Name:


* Address where product is located:


* City:


* State/Province:


* Zip/Postal Code:


* Service Agreement Order Number:


Yes, please keep me informed about new Xerox office products, and occasional special offers.

Yes, I would also like to receive selected information from companies that offer related products or services.

Xerox Canada and its affiliates sends promotional information about its products, solutions, and services to customers who want to receive such information. Promotional information could include special offers, newsletters, updates, and surveys.

You may contact Xerox at the following address: Xerox Canada Ltd., 5650 Yonge Street, Toronto, Ontario, M2M 4G7 c/o can.privacy@xerox.com.

PRODUCT INFORMATION

* Product Model Number:


* Product Serial Number: (Guide to Finding Your Serial Number)


* Date Product was Purchased:


Additional comments:


Don't forget to fax or mail configuration page if required.
   

Information for 2nd product

Service Agreement Order Number:


PRODUCT INFORMATION

Product Model Number:


Product Serial Number: (Guide to Finding Your Serial Number)


Date Product was Purchased:


Additional comments:


Don't forget to fax or mail configuration page if required.
   

Information for 3rd product

Service Agreement Order Number:


PRODUCT INFORMATION

Product Model Number:


Product Serial Number: (Guide to Finding Your Serial Number)


Date Product was Purchased:


Additional comments:


Don't forget to fax or mail configuration page if required.
   

Information for 4th product

Service Agreement Order Number:


PRODUCT INFORMATION

Product Model Number:


Product Serial Number: (Guide to Finding Your Serial Number)


Date Product was Purchased:


Additional comments:


Don't forget to fax or mail configuration page if required.
   

Information for 5th product

Service Agreement Order Number:


PRODUCT INFORMATION

Product Model Number:


Product Serial Number: (Guide to Finding Your Serial Number)


Date Product was Purchased:


Additional comments:


Don't forget to fax or mail configuration page if required.