Schedule your repair

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Company Name : *
(If there is no company enter none)
Contact Name : *
Company Address : *
City : *
State : *
Zip : *
Telephone # : * (999-999-9999)
Extension :
Cell Phone # :
Fax # :
E-Mail : *
Have you used our repair services before? Yes No
If you are a first time customer please take a moment to fill out the Payment Obligation Form.
You must fax or mail this form before we can process your order.
How would you prefer to receive your estimate? : Fax E-Mail Doesn't matter
What are the best times to contact you? :
Alt. Contact Name :
Alt. Phone :
Extension :
 
Brand : *
Model # : *
Serial # : *
List any accessories included : *
(If there is none enter N/A)
Detailed description of problem (please be as detailed as possible) : *
Is the problem intermittent? * Yes No
Is problem with : * Video Edit Audio Other
What are the circumstances when the problem is apparent? * (Check all that apply) Hot Cold PB REC EE
Brand(s) of tape stock used (Please Specify): *
Is a tape available showing the problem? * (If yes, please include with the unit.) Yes No
Has any work already been performed, in house or elsewhere to repair this problem? * Yes No
Is there anything in particular that you would like or not like to be performed on this unit? *
Does the unit have any physical damage before it is sent in? * Yes No
If yes, describe damage:
Would you like any cosmetic damage repaired? * Yes No
If this unit is a DVCPRO Studio Deck, what modifications would you like performed and/or installed?
For information on modifications, please visit our Additional Services page, or call 1(800)359-1858.
640-650 640-650 + 3 Hour 650 3 Hour
 
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How did you find out about us? *
Please make sure your information has been accurately entered before submitting the repair order.
  
Noventri
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Prices shown are in USD. All prices, specifications and dates may be changed without notice.
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