Shipping Information / Packing Slip

Please fill out the following information, print it out, and send with unit.
Name
E-mail Address
Phone Number
Street Address
City, State, Zip Code
  Brand Name
Place of Purchase (If under warranty)
Purchase Date
City where Purchased

Malfunction of Unit:

An advanced payment of $73.00 is required for all units. This advanced payment will be applied to the repair. All out of warranty units must be pre-authorized up to the average repair cost listed below. (Select your product being shipped) If the estimated cost of repair exceeds our advanced authorization or (average repair cost), and the estimate given is declined, this payment becomes our diagnostic fee, and is not refundable.

We accept Master Card, Visa, Discover and Personal Checks:

Credit Card Number
Credit Card Expiration Date
Name as it appears on Card
Product accepted for Service

X______________________________________________ Signature Required


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Ship to:
Thompson Electronics
4315 East Main Street
Columbus, Ohio, 43213
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