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We Accept All Major Credit Cards


Work Order Form for
Instant Repair Authorization Number.

To request a general estimate click Estimate Request before filling out this form or call us to receive one.

Company: If business related or shipping from/to a business, provide your company's name.
Maximum of 35 charactors, as required by Fedex.
Full name: Please provide your full name

Return shipping address:

Without your company name or personal name, example:
1234 Street Address
City Name, State 00000
Contact details:
Phone numbers:
Primary - - ext.
Cell
Fax
Example: 800-123-4567
Cell & Fax are Optional
Email      Email is optional; only used for status updates and quotes, if provided.
Payment method: Please indicate how you plan to pay for repair.
*CODs are only accepted from businesses.
Repair Process: *Note: If we unable to repair the item in the expedited timeframe, you will not be charged this fee.
Billing address, if different from above:
Please provide full name and address details for billing.
Item(s) being sent:
Please include:
Brand name
Model
and serial #

Please repeat for each item being sent in for repair.

Description of problems:
 Please note which item and under what conditions the problem occurs, if intermittent, any known causes, and any previously attempted repairs.
Please provide your estimate code # here: Optional. Note: If you send in a unit with out a verbal or email estimate, a $35.00 Evaluation / Estimate Fee will apply. Please click on the "Estimate Request" link at the top of this page to avoid this.
Start repair if costs will not exceed $: We start repairs immediately if they will not exceed this value. Leave blank if you provided a general estimate code in the proceeding box .
If the price exceeds the email, verbal estimate or start repair cost box, indicate how you like to be contacted:
By submitting this form and sending an item in for repair, I understand that Spectronix is not responsible for any lost, damaged or stolen items in the mail. I also state that I agree to all of the policy's listed on the web site. I also understand that Spectronix cannot fix all units and that sometimes parts are not available or sometimes the repair is just to costly, you will not hold Spectronix responsible for any time frame promises assumed or not assumed. You also understand that certain repairs might take additional time because of the nature of the repair.

Spectronix - Copyright 1996-2009
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