DAC International Equipment Problem Report

Please fill out the following form. When complete please click the <submit> button to send the completed form to DAC International. You will receive a confirmation when the form is successfully sent.

Use the "TAB" key NOT the "Enter" key to advance to the next field when completing the form.

Company Name: Date:
Contact Name: Phone#:
Fax #: E-mail:
City / State / Country:

Equipment Type: Please click next to the machine(s) which are experiencing a problem.

2-Axis Lathe 4-Axis OTT Lathe
3-Axis Lathe Mill
4XC 4-Axis Lathe RX Lathe
4-Axis Lathe (Two Cabinet) SLP Polisher
2 Axis OTT Lathe 2-Axis ALM
MLC Mill/Lathe Combo 2-Axis ALM OTT
Other: (Please Describe)
Equipment Serial #:

Type of Problem: Please Click next to the type of problem the machine is experiencing.

Hardware / Electrical Problem Software / Applications Question or Request

Detailed Description of Equipment Problem:

(Please include a description of the problem, along with the steps taken to correct the problem prior to contacting DAC. Please try to reconstruct the problem in a sequential way, such as: "I noticed bad surfaces, so I changed the diamond tool and carefully recalibrated the lathe, etc.")


This form will be automatically e-mailed to DAC after you click the <submit> button below. Please wait for the confirmation message to appear after clicking.

You may also Print this completed page and Fax it DAC at (805) 566- 2196