Repair Request Form Please PRINT out and then complete this form and include it with
your item(s). Customer InformationName…………....
_____________________________________ Ship
Address……_____________________________________ _____________________________________ City…__________________ St ___
Zip_________ Email
Address..…_____________________________________ Phone –
Days….._____________________________________ Nights…._____________________________________ Cell……._____________________________________ Shipping InformationPreferred Method For Return …….. [
] US Post Office [ ] UPS
(check one) Insurance Requested ……. $_________
Repair RequestedDescribe below the repair
your item requires. Attach second sheet
or use back of page if necessary. Do
not rely on email or verbal instructions you may have given. Please be specific and provide as much
detail as possible. A drawing or sketch may also be helpful. _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Payment MethodPayment is due upon
completion. For extensive repair, a
deposit may be required. [ ] Check/Money Order
[ ] PayPal [ ] Other _____________ (check one) Our AddressShip your carefully packed
item(s) to the following address. For
multiple items, please include packing slip.
Insurance is recommended. |
For UPS or FedEx shipments ship to: David Harr 65 Pierce Rd. West Brookfield, Mass 01585 (508) 867-6603 | For USPS shipments ship to: David Harr P.O. Box 1107 West Brookfield, Mass 01585-1107 Cell phone: (508) 472-4424 |