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Service
Request Form
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Please
print and complete this form to send in with your item
for repair.
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Ship
to:
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Teletron
Service Company
4415 Aurora Ave N.
Seattle, WA. 98103 |
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Customer:
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Name:
Address:
City, State, Zip:
Daytime Phone:
E-Mail Address: |
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________ |
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Item
for
repair:
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Brand:
Equipment Type:
Model:
Serial Number:
Symptom / Problem: |
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________
_________________________________ |
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[ ]
[ ]
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Warranty
/ Extended Warranty
(include receipt or contract)
Non-Warranty Repair
Authorized to $______________
(see
our repair charges page) |
Service
Desired:
Please check one >>>
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| Shipping
Instructions: |
Package
your item in original carton if possible. If
not, wrap the unit in bubble wrap and place in a
box large enough to fill in with styro-foam
peanuts (minimum of 2" on all sides of
unit). Place a copy of this form inside the box.
Put a label on the outside to the above address.
Ship by UPS, Mailboxes etc., or US Mail. Also,
please insure for equipment value. |
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