First Name *

Last Name *

Company Name (If Applicable)

Email *

Phone *

Address *

City *

Country *

State *

State/Province/Territory

Zip/Postal Code *

Ship to Same Address

Shipping Name *

Shipping Address *

Shipping City *

Shipping Country *

Shipping State *

State/Province/Territory

Shipping Zip Code *

Province/Territory

Reason For Sending *

Explanation

Converter Part Number *

Converter Serial Number *

WHERE TO FIND PART/SERIAL NUMBERS

Part Number:

Serial Number:

Additional Information

Upload Datalog or Pictures?

Yes No

Datalog File (.zip)

Pictures

Choose file or drag here

Supported format: JPG, JPEG, PNG, GIF, SVG.

Thanks for getting in touch!

Please check your email for next steps and instructions on how to ship your converter back to us. Please check your spam folder if you haven't received the confirmation email within a few minutes.

- Team CDS

Following completion of the form, you will receive an email confirmation with a Return Authorization Number enclosed.

Please print a copy of the confirmation email and include in the package of the return shipment while following any instructions or guidelines outlined in the confirmation.

General Pricing and Lead Times:

Single-Disk Converter Service: $400

Triple-Disk Converter Service: $450

10 Speed Converter Service: $500

Current Lead Time: 7-10 Business Days (following receipt of the unit at our facility). Any changes to the converter will increase this turnaround time.

Thanks for getting in touch!

Please check your email for next steps and instructions on how to ship your converter back to us. Please check your spam folder if you haven't received the confirmation email within a few minutes.

- Team CDS

Circle D Specialties - Custom Converter Order