Fillable Repair Form Consumer Division 5717 Enterprise Parkway East

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Repair Form Consumer Division 5717 Enterprise Parkway East

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5717 Enterprise Parkway
Ship To:
UR Account #:
Consumer Division
East Syracuse, NY 13057
1.800.634.8606
315.446-8700
315.445.3297
customerservice@unitedradio.com
Repair Form
Date:
Reference #:
Name:
Address:
Bill To Address:
Same as ship to address
Different address:
Contact Info:
Phone:
Email:
Customer Name:
Unit Information:
Model:
Serial Number:
Password:
Condition of Unit:
(Ex: dent on front panel/bent antenna/scratches):
Billing Information:
Manufacturer warranty
Please provide
proof
of purchase
Out of warranty
**
Call for credit card information
Credit card taken at time of arrival
Warranty Information:
Date of purchase:
Location Purchased:
Accessories included:
Detailed description of the symptoms:
ADDITIONAL INFORMATION:
♦
Check repair status on unitedradio.com/consumer-division/check-repair-status/
♦
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Repair Form Consumer Division 5717 Enterprise Parkway East

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Completed 27 April 2021

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