Repair Request Form

Contact Information:

First Name: *

Last Name: *

Company:

Address: *

City: *

State:

Zip Code: *

Phone: *

Fax:

Email: *

Confirm Email: *

Product Description:

Type:

Brand:

Model Number: *

Serial Number: *

Date Purchased (Month, Date, Year):

Please describe the issue. Provide as much detail as possible.: *

Issue Intermittent :

Repair Fees

All repairs (except noted with ) will be charged an Evaluation Fee which is included as part of labor fee. The Evaluation Fee is non-refundable**.
Evaluation Fee:	$40.00
Repairs will also be charged a flat rate Labor Fee based on the product type. Our Labor Fees are listed below:
Amplifier Labor Fee:	$125.00
Commercial / Home Appliance (includes paper shredders) Labor Fee:	$80.00
DJ Equipment Labor Fee:	$125.00
Drum Machine Labor Fee:	$100.00
Electric Bike Labor Fee:	$120.00
Electric Scooter Labor Fee:	$80.00
Mini-Electric Car/Mini-ATV/Mini-Bike Labor Fee:	$65.00
Music Keyboard Labor Fee:	$125.00
Rice Cooker/MultiCooker Labor Fee:	$50.00
**Watch (Watchband, Bezel, & Battery Replacement) Labor Fee:	**$25.00
Replacement Part Fees
The fees above DO NOT include parts. Parts will be billed in addition to the Evaluation Fee and Labor Fee. All replacement parts must be purchased through PacParts Inc.
Shipping Fees
All shipping expenses to and/or from our facility must be paid by customer.

Shipping Address
Our shipping address is:
PacParts Inc. 1860 W. Carson St. Suite # 102 Torrance, CA 90501
Repair Number
You will receive an official repair number via email after your repair request has been reviewed and approved. *Please do not send any items before receiving a repair number. Any item sent in without a repair number will be returned at owner's expense.*