High Energy Repair Order Form 1-727-797-6440
Please fill in the blanks as needed, print form and enclose form inside box with item.
   
Company:
First Name:
Last Name:
United States Return Address:
City:
State:
ZIP:
   
Bus. Phone:
Home Phone:
Work Phone:
Cell Phone:
Email
 


Unit Make:
Model/Chassis:
Serial Number:
Type of Unit:

Problem with unit or Reason for Repair:

( You may enter up to 160 characters. )

characters left


Is the item under warranty?
Yes
No

If Yes, Please enclose the sales receipt.
If No, a deposit will be required. Deposit amounts can be found here.
Print page
Print
 
Warranty coverage varies per manufacturer. Generally, only manufacturing defects are covered by most warranties. Please consult your products warranty sheet that was provided with your product for specific coverage questions.
Warranty units with physical damage/misuse or are operating correctly may be subject to an estimate fee and shipping & handling charges.

Our Non-Warranty Labor rate is $75.00 per hour plus parts. All units except projectors will be automatically repaired if the cost does not exceed $150.00 All projectors will be automatically repair up to $300.00 An estimate will be provided if the cost to repair will exceed $150.00 or $300.00 respectively. Any declined estimate will be subject to a $50.00 or $100.00 Estimate Fee plus shipping & handling (if applicable).

The $50.00 or $100.00 up-front fee may be paid with Check, Money Order, Visa or Mastercard.

Shipping & Handling for returned equipment is extra and will be billed based on actual shipping charges. We do not ship internationally. (Insurance and Delivery Signature are required for all items being shipped back to the customer.)
 
Package the unit carefully and ship it prepaid and insured to us at the address listed below.
Please visit
this page for our complete Terms & Conditions.

Ship To:

High Energy Repair
21929 US Hwy 19 N.
Clearwater, FL 33765