Packing & Shipping

SHIPPING FORM

Please fill in and print out this form. Place form in box as it is the only way we can contact you!

Name:
Address:

City:
State:
Zip:
Day Phone:	- - (Night)
Night Phone:	- - (Day)
E-mail:
Type of Unit:
Model #:
Serial #:
EA #:
Payment Method:	Check enclosed
	Call for credit card when unit arrives

Accessories Included:

Describe Problem:


Thanks for filling in all your information. Please know that we'll NEVER give out your personal information.

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