Address:
Your PO#:
(if required)
Company Name:
Address 1:
Address 2:  
City:                 State: Zip:
Please return items to this address
Please return items to a different address provided 
 
Contact Name:
Phone:
FAX: 
Email:
 
Payment method:     
Visa MasterCard AMEX Discover
Card # 
Name on card:
Exp. Date: / 
Please use this same card for any future orders
Please do not save this card information

Please fax me for credit card information when order is done.
          (This will delay the order for 1+ days waiting for your reply)
COD ($6 charge)
Pre-Pay (you must contact us for total cost*)
NET 30 (Current accounts, school agencies, and large nationally known companies only*)
Other
 
Contents:
Total items being sent for repair:  
Description(s): Type, model, comments etc..
(no problem descriptions here)
 
 
Special Requests:
Return shipping:    Ground   3-Day   2-Day  Overnight US Mail

          These choices usually involve a small fee to cover the cost of the items
Replace ALL missing parts and return each phone complete.
Replace missing handsets.
Replace missing base stands (if available)
Replace missing button caps (10 to 50 cents each)
Replace missing clear designation plastics

 

 

 


 

 

 

 

 

 

 



 
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