Canon Service Repair Form
Canon For further assistance please contact our HelpDesk: 0800 222 666
First Name  Surname 
Do you have an Account with Canon?
Account Number   Purchase Order #
Company Name
To ensure we have the correct delivery address recorded on our paperwork please record an address where the unit can be signed for when it is delivered. All our items are delivered via signature required deliveries. NB: When your repair is complete you will be given the option as to collect the unit or have it delivered.
Address 1 
Address 2 
Suburb 
Postcode 
City 
Email Address 
Daytime Contact No  Mobile No
NB: If you do not have a mobile number please enter your land line including area code, however please note that you will not receive SMS notifications from Canon.

Service Item 
Model   What is this?
Serial No 
Was your product purchased in New Zealand or Australia from a Canon Authorised Dealer? 

Equipment
Only supply accessories relating to the fault. Canon NZ is not responsible for lost accessories or media cards
Accessories (list all items sent)
For Interest and Camera model history see :Canon Museum Privacy Policy

Minimum browser requirements for eWay payment page: Chrome 30/ Internet Explorer 11/ IE 10 provided TLS v1.2 is manually enabled/ Firefox 27/ Safari 7