Please complete the form below.  You will receive a copy of this form in your email shortly thereafter.  Print out the form and send a copy with your return.

Your Information

Model (check all that apply)
To help us more accurately calculate an estimate, please check the services you are interested in:

*rEvo recommends having most counter lungs replaced during the 15-year service unless there is excessive wear ordamage. Older rEvo II units should have counter lungs replace after 8-10 years.

Return Shipping:

Please include insurance for return shipping for this amount $. We typically use UPS unless you would prefer a different courier.