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Paid Repair Request
  
This https:// secure form is for buying paid repairs. Since it is secure it is safe to enter your credit card information. 

Instructions

1. Please fill out the below form as much as possible and then click the submit button.
2. You will get a repair authorization number on the next page. This number begins with an 8. 
3. Then ship your unit to 3400 W MacArthur Blvd., Unit E, Santa Ana, CA 92704
4. Write the paid repair order authorization number that begins with an 8 on the outside of the shipping box.
5. Please use plenty of packing material and insure your shipment against possible damage with your shipper.
6. Keep your paid repair number for future reference and for corresponding with our paid repairs department.
7. If we have any questions we will contact you. Once your repair is done we will email you with the return tracking number. 

Thank you for you business.
Repairs Department:  Tel: 714-662-4959 ext 3  repairs@ezsystems.com     
Repair Prices

Todays Date:
 
Email Address: 
 
Please specify which search engine and or advertisement
How did you find us?  
 
Bill to Address:
Include company
(if applicable) &
name, street address, city, state and zip code.
 




 
Telephone Number:

 
First and Last Name: 

 
Fax Number:

 
Ship to Address:
Include company
(if applicable) &
name, street address, city, state and zip code.



 

 
How do you want the unit(s) shipped back? Since you pay shipping it is your choice. We recommend FedX Economy 2 Day Service -please specify.
 
Shipping Back: 

List all models, serial numbers, and problems. 

Model(s): 
 

 
Serial Number(s):


 
Problem: Please describe
in detail.
 


Operating System/Backup Software (if known)  

Amount of repair in $ US Dollars  
 
Expedite Fee:
For an extra $50 we can fix your drive in 2 days (this does not include shipping time) Please specify expedite or our normal turnaround of 1 week.

 
 
Bench Fee: If we can find nothing wrong with your drive we will charge you $50 or $150 depending on the drive. All drives are $50 bench fee except 9 Track and 3480,3490/E tape drives. Type accept in this space to acknowledge this condition.
 
 
Purchase Order Number: (if you use them - not required)
 
 
Payment Method: COD or Credit Card (include #, expiration date & full name on card) Terms for pre-qualified customers only.
 
 
Comments or Special Instructions:
 
 

 

      
               
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