Please complete the following request form below and a CANI Optical Systems Customer Service Specialist will be in contact with you shortly to assist you with your Service and Repair request.

For immediate service, please contact us at 888-799-CANI (2264).

Name *
Name
Phone *
Phone
Please indicate the best contact number to reach you with any questions, updates, and communication
Please indicate the best time(s) to contact you regarding your service request.
Please indicate the Manufacturer of the device requiring service.
Please indicate the model of the device
Disinfected/Sterilized *
Has the device been effectively disinfected and/or sterilized?