*When shipping in your equipment fill this form out and send it in along with the equipment.
548 Virginia Drive
Tiburon, CA 94920
Phone: 415-435-3712
FAX: 415-435-4873
Email:
WWW.MOORESELECTRONICS.COM
Equipment Information: (Please use one
form for each piece of equipment)
IMPORTANT POINTS TO REMEMBER
• Be sure to use a sturdy safe box or use original packing if
available. Insure contents.
• Do not pack heavy
equipment in Styrofoam “peanuts.”
• If warranty repair,
enclose a copy of original invoice.
• Enclose this form in
box with equipment to repair. (Keep a copy for your records.)
• Use one form for each piece of equipment to be repaired.