Shipping Information / Packing Slip
Projector Lamps Research and Replacement
 Please fill out the following information, print it out, and send with your old lamp

Name
E-mail Address
Phone Number
Street Address
City, State, Zip Code
  Projector Information

Brand Name

Model
Serial
Purchase Date


Malfunction of Unit and additional Comments:

Express Repair Center, Inc. will contact you with a estimate before perform any work in your unit

Delivery charges will be additional, and are calculated by zip code.


 We accept Master Card, Visa, American Express, Discover, Paypal and Personal Checks:

 

X___________________________________ Signature Required          ______________ Date

Please print this page

 Ship to:
 EXPRESS REPAIR CENTER
7839 NW 15ST
Miami, Fl, 33126

Ph:  305-500-6334

Fax:305-500-6339

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