ADAM'S ELECTRONICS

Pre-Repair Form

Customer Information
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Return Address (Once shipped, cannot be changed)

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Product Being Serviced

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If your product is out of warranty, fill out the payment information below

Shipping Instructions

- Pack your product securely using a sturdy box and ample packing material.

- Print and include this completed form and a copy of the proof of purchase. 

- Ship to: Adam's Electronics, 7130 Edinger Avenue, Huntington Beach, CA 92647

If this is a warranty repair, a copy of the proof of purchase must be included.

To print this form, click "Ctrl+P" or right click and select "Print"