Repair Form

Use this form to let me know your contact and shipping information.

Contact me first before sending anything so I know what’s coming and confirm that I can work on it.

Name *

First

Last

Return Shipping Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

This is the address where your item will be returned. We ship UPS and this has to be a physical address.

Return Comment Shipping

Email *

Email

Confirm Email

Enter your email address for communications.

Phone *

Enter your phone number in case I need to call you.

Shipping Service— Select Shipper —UPSFedExUSPS – Postal ServiceOther

How are you shipping your item if you are shipping it.

Tracking Number

Tracking number if you ship your item so it can be tracked.

Estimated Arrival

When is the unit expected to arrive.

Comment or Message

Add some detail about the service to be done and any special requests.

Submit