Name:    

Street:    

Apt. #:   

City:      

State:                     Zip: 

Daytime Phone Number:   Email:

Item Returned:   

Date Returned:   

How Sent:          

 In warranty:    

Yes   include dated receipt or charges will apply

No     charges will apply (see Standard Repair Charges Chart )

Check included: #         Amount: $

Bill Credit Card:  Visa MasterCard      Discover

Card#      Exp date  

3 Digit Card Security Code    << Important! We must Have This!

Visa / Mastercard Flip your card over and look at the signature box. You should see either the entire 16-digit credit card number or just the last four digits followed by a special 3-digit code. This 3-digit code is your Card Security Code.

 Brief Description of the Problem:

Allow 10 working days for the repair plus shipping time. To verify receipt of an item by Digitrax please request proof of delivery from the carrier you used to return the item. Warranty repair items must be accompanied by proof of purchase date.  Items sent in for non-warranty repair must include payment by check or credit card. If there is no charge for your repair, your check will be returned or your card will not be charged.

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