Please complete this form, print and send with your items for repair.
Ship to:
Hi-Tech Gadgets LLC
15025. PACIFIC HWY S, TUKWILA WA 98188
PHONE 206-243-6058. FAX NO 206-246-7475 E MAIL service@hitechrepair.com
Customer Information:
Name: ____________________________________________________________________
Address: __________________________________________________________________
City: ______________________________________
State: _________________ Zip: _______________
Daytime Phone:_____________________________________________________________
E-Mail Address: _____________________________________________________________
Item for repair:
Brand: _____________________________________________________________________
Equipment Type: _____________________________________________________________________
Model: _____________________________________________________________________
Serial #: _____________________________________________________________________
Symtoms / Problems: _____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Service Desired:
Please check one:
[ ] Warranty / Extended Warranty
(include receipt or contract)
[ ] Non-Warranty repair
Authorised to $ _________________________
Shipping Instructions:
Package your item in original carton if possible. If not, wrap the unit in bubble wrap and place in a box large enough to fill in with styro-foam peanuts (minimum of 2" on all sides of unit). Place a copy of this form inside the box. Put a label on the outside to the above address. Ship by UPS, Mailboxes etc., or US Mail. Also, please insure for equipment value.