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Camcorder Repair Order Form

 
 
 

Repair Order Form

After filling out the form below please print two copies, one for you to keep and include the second copy with the camcorder you ship to us. For detailed directions for shipping & packing Click Here

Shipping Address:

Camcorder Repair

1947 W Glenoaks Blvd

Glendale , CA 91201

We ask that you do not ship anything except the camcorder itself unless it is an accessory that relates to the problem you are having.
 
Name*:
 Company:
  
Address*:
 Apt./Suite:
  
City*:
 State* (USA Only):
 Zip:
     
Home Phone*:
 Work Phone:
 E-Mail*:
     
Brand*:
 Model Number*:
 Serial Number*:
     
 

Please give a description of the problem with your camcorder*:

Image Verification*
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