Repair Order Form

 





 
 

After filling out the form below. Please Submit the form and print two copies after submitting.

After filling out the form below Please Submit the form and print two copies after submitting, one to be shipped with your equipment and one to keep for your records. For detailed directions for shipping & packing Click Here

Shipping Address:

Camcorder & Camera Repair Center

1947 W Glenoaks Blvd

Glendale , CA 91201

Please do not send power adapters, batteries, tapes, memry cards, chargers, bags or any other accessories unless they are part of the problem.

 
Name*:
Company:
 
Address*:
Apt./Suite:
 
City*:
State* (USA Only):
Zip:
     
Home Phone*:
Work Phone:
E-Mail*:
     
Brand*:
Model Number*:
Serial Number*:
     
 

Please give a description of the problem with your equipment and SUBMIT the form*:

After filling out the form Please Submit the form and print two copies after submitting.
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Please Submit the form. Click the “Submit” button

If you are having trouble to submitting the form. Please print this form and include it in the package.

If you are not able to print to this form. That's fine, just write it down on a piece of paper and include it in the package.