HTML Preview Repair Estimate Order Form Example page number 1.


1. Fill out this form completely, then print it on paper. Type your information directly on this form.
2. Include the printed copy in the box with your instrument.
3. Pack it well and send it to the address at the top of this page: Attn. Repairs.
Choose Your
Type of Service
Standard
( 2-3 weeks)
Expedited
(3-5 days) + $35
Lightening Fast
(1-2 days) +$65
Contact and Shipping Information Credit Card Information (for rush service)
Your Name Name (on card)
Shipping Address Billing Address
City City
State (Province) State (Province)
ZIP/Postal Code ZIP Code
Country Country
Phone Number Credit Card No.
Fax Number Expiration Date.
Email Address
Instrument Model Serial Number Problem
1
2
3
4
5
6
Additional Information
Repair Estimate Order Form
Signet Marine Inc.
2315 1/2
Artesia Blvd.
Redondo Beach, CA 90278
(310) 320-4349
(310) 320-5026 Fax
No PO Boxes!
Sending your instrument in for repair
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