SHIPPING FORM

PLEASE PRINT OUT, FILL IN, AND SIGN THIS FORM, AND INCLUDE IT WITH YOUR REPAIR.

PLEASE, PLEASE, PLEASE-PRINT LEGIBLY-WE MUST BE ABLE TO READ WHAT YOU HAVE WRITTEN - INCLUDE ALL OF YOUR CONTACT INFORMATION, AND PUT THIS FORM IN THE BOX-IT IS THE ONLY WAY WE CAN CONTACT YOU!! THANKS!

 
NAME: _________________________________________________________________
 
ADDRESS: ______________________________________________________________
 
CITY, STATE, ZIP: _____________________________________________________
 
BEST PHONE # FOR CONTACTING YOU: _____________________________ALTERNATE PHONE #: _____________________________
 
ALTERNATE PHONE #: ____________________________
 
EMAIL: ______________________________________________________________
 
 
BRAND: ________________________________________________
 
MODEL #________________________________________________
 
SERIAL #_______________________________________________
 
AIR BAG CUSHIONS, PEANUTS, TOWELS, RAGS, SOCKS, TOILET PAPER, PIZZA BOXES, PIECES OF CARDBOARD, ETC. ARE NOT PACKING MATERIAL. USE HEAVY DUTY BUBBLE WRAP.
 
IF YOU DO NOT HAVE THE ORIGINAL BOX AND PACKING, YOUR UNIT MUST BE PACKED IN A HEAVY DUTY BOX WITH A MINIMUM OF 2 ½ - 3 INCHES OF HEAVY DUTY BUBBLE WRAP ALL AROUND IT. IF YOUR BOX IS INSUFFICIENT FOR THE RETURN TRIP, WE WILL REPACK AT A COST OF $50 - $75 FOR BOX/PACKING/TIME SPENT TO REPACK.  I AM NOT RESPONSIBLE FOR ITEMS NOT PACKING IN ORIGINAL BOXES/PACKING
 
When we ship this unit back to you, do you have a specific 
amount of insurance you would like us to place on the package?
 
$_____________
 
We normally ship units back "signature required". Will someone be available to sign for the package? ____________
 
If not, or if you prefer, may we ship your unit back to you with no signature required? _____________
 
 
ACCESSORIES INCLUDED: _______________________________________________________

If your unit is under the manufacturer's warranty, we must have a copy of the proof of purchase, clearly showing the item purchased and the date of purchase. Credit card statements are not accepted by the manufacturers.

Description of Problem (Please be as specific as possible):

_____________________________________________________________________________
 
 
_____________________________________________________________________________
 
 
_____________________________________________________________________________
 
Out of warranty repairs require a $50 deposit. Velodyne repairs require a $100 deposit. 
 
I am including a check for the deposit _______. (Not required if under warranty)
 

 
Please email SQUARE request for the deposit _______. (Not required if under warranty.)
 
I UNDERSTAND THAT THE DEPOSIT IS NON-REFUNDABLE. 
 
WE CANNOT PROMISE OR GUARANTEE A TIME FRAME FOR COMPLETION OF DIAGNOSIS OR REPAIR. IN-WARRANTY REPAIRS TAKE PRIORITY. TIME FRAME IS AFFECTED BY WORK FLOW, PARTS/SERVICE INFORMATION AVAILABILITY, WEATHER, ETC. 

COMPLETED UNITS NOT PAID FOR WITHIN 30 DAYS AFTER COMPLETION WILL BE SUBJECT TO SALE OR DISPOSAL UNLESS OTHER ARRANGEMENTS ARE MADE.

SIGNATURE: __________________________________________________________________

Ship To:

APPROVED AUDIO SERVICE

710 BANTAM RD.

BANTAM, CT. 06750

860-567-5801

REPAIR@APPROVEDAUDIOSERVICE.COM