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Repair Form Application

Request For Repair

Please fill this form out to start the process. Upon submitting this form you will be given an Repair Form Number for your request.

Please ship units to the following address, ensuring the Repair Form Number is displayed on the outside of the box. If you do not require a label, you can ship your Toughbook at your earliest convenience once you have completed the form and received an Repair Form number.

Telrepco
Attn: Repair Form Number ______
101 North Plains Industrial Rd Bldg. #2
Wallingford, CT 06492

Full name*:

Street Address*:

Address Line 2:

City*:

State*:

Zip Code*:

Telephone*:

Email address*:

Company:

Toughbook Details:

Model #*
(e.g. CF-31SBLJGDM)
Serial # *
(e.g. 1AAAA11111)
 

Warranty Status:

In Warranty Out of Warranty Not Sure
Need Box for Shipping
Need label for Shipping

Brief Description of the Problem*:

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