Digatron LLC, Repair Form
Please print, complete, and send this form
with your unit. We recommend keeping a copy of this form for your records.
**Please send in your leads with your
instrument. They can often be the problem.**
Name___________________________________________________________________________________
Street Address___________________________________________________________________________
City
____________________________________State/Province___________________________________
Zip/Postal code
__________________________Country_________________________________________
Day Phone (
) _______________________ Eve. Phone
( ) _____________________________
E-mail___________________________________________________________________________________
Please list model number(s) (found on back of
instrument) and serial number(s):
Model #:
__________________________________ Serial #: ________________________________________
Model #:
__________________________________ Serial #: ________________________________________
Please fully describe the
problem you are having with your instrument and / or the work you would like
done to your instrument.
If you would
like to speak to a technician prior to sending your instrument in please call
the number at the bottom of the page.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Per
our policy, we will call you if the charges will be over $75.00 per instrument
before repairs are made.
Payment: Please include your credit card information
below or we will call you for it.
Card
Number: __ __ __ __ / __ __ __ __ / __ __ __ __
/ __ __ __ __
Exp Date: __ __
/ __ __ Security Code:
________ (3 digit code on the back of
the card)
Cardholder Name
_______________________________________________
Address/Zip
Code where credit card bill is received:
____________________________________________________________________________
____________________________________________________________________________
Please send a
copy of this form and your repair to:
Digatron LLC
(509) 467-3128