Untitled Document

Repair Form

Shipping Date:

First Name:

Last Name:

Company:

Address:

Apt/Suite:

Address:

City:

St: Zip:

Phone:

- -

Email:

Manufacturer:

Model:

I would like to:

Preaprove for standard repair price.

Just a FREE estimate

Describe the problem:

$7.00 Shipping /Handling for each camera. Insurance is Optional*

_________________________________________ *USPS Insurance: $2.20 - $100 Value, $3.20 - $200 Value, $4.20 - $300 Value, $5.20 - $400 Value, ...etc

Drop-off instructions:

If you'd like to drop-off your camera, rather then ship it, you can do so. Fill out and print this form, put it in the box together with the camera, tape the box. Using marker or sharpie put "138" on the box. Drop it to the address above.

I've read and understood all information on "Services" page.