Repair Request Form

For repair, complete this form and click submit.

If you have any problem, your request may also be
fax to 407-804-1002 or emailed to:

Repair Rates
Diagnostic: $80.00 Flat Fee
Labor: $230.00 Hour

Remote Support Services: $230.00 / Hour (Min. 2 hours.)

Additional Information

Please enter any additional information regarding your request:

* Required Fields
Required Service(check one)	Warranty Non-warranty
First Name:*
Last Name:*
E-mail:*
Company:*
PO Number(N/A if unknown):*
Model Number(N/A if unknown):*
Serial Number:*
Brief Description (required for all services) Please enter any information regarding your request:*
Main Phone:
Other Phone:
Address Line 1:*
Address Line 2:
City:*
State/Province/Region:*
Zip/Postal Code:*
Country:
Preferred method of response: