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| Name | Home Phone | Cell Phone | ||||||||
| Address | City | State | Zip | |||||||
| Apt # or Suite | Email Address (for updates) | |||||||||
| List symptoms (be specific/detailed as possible): | ||||||||||
| Brand & Model #: | ||||||||||
| Serial #: | ||||||||||
| Payment method | Credit Card Number | *Circle Visa MC AMEX Discover | ||||||||
| Deposit Req. Digital Camcorder | 70.00 | Cardholders Signature | Expiration Date | |||||||
| Digital Still Cameras | 70.00 | Drivers License - if check | State | DOB | ||||||
We charge $20 for S&H to ship your unit back insured.
Please remember to send your battery & AC adapter
Ship to:
All Video Repair
6465 Sierra Ln.
Dublin, CA 94568
Remember to insure, & please pack your unit in bubble-wrap!
Call UPS Phone 1 800 PICK UPS. Have the weight and dollar value for insurance ready. UPS will tell you how much it will cost to ship. Have that amount ready in check or money order for the driver on the day of pickup.
The US Post Office, if not inconvenient, will also be happy to ship your package.
*For Quickest Turn-Around Time, Credit Cards are the Preferred Payment Method.