DRIVECAM DC3 REPAIR SERVICE

Please fill out the Return Authorization Form below when you are ready to proceed with your repair. Once completed and submitted, follow the prompts to our PayPal store account for payment processing of your order.

RETURN AUTHORIZATION FORM

Customer Name (first):	Enter your First Name.
Customer Name (last):	Enter your Last Name.
Email Address	Enter your Email Address.Enter a valid Email Address.
Company Name:	Enter your Company name.
Address:	Enter your Company address.
City:	Enter your Company City.
State:	Enter your Company State
Zip Code:	Enter your Company Zip CodeEnter a valid US 5 digits Zip Code.
Contact Phone:	Enter a phone number.

SELECT HOW MANY UNITS YOU ARE REQUESTING TO REPAIR
	units

SERIAL NUMBER AND DESCRIPTION OF ISSUE
Enter the serial number and the description of its issue. If you have more uinits, make a line break and add the other ones the same way e.g: 763927-GFT-34: problem with led 456927-WST-23: scanner not working	Enter serial number and description for each unit.

RETURN SHIPPING ADDRESS
Check to use the above information:
Address
City:
State:
Zip Code:

Return product to you if unable to repair?
I have read the posted return policy and understand all terms and conditions You need to agree to terms before proceeding.
Signature:	Enter your Signature.
Date:	Enter date.