Control Board estoration or · General Information Control Board Restoration or Service ei er Sii irrc e Sie i iirrc Date: Phone #: State: Zip Code: Name / Company:

Gen

eral

Info

rmat

ion

Control Board Restoration or

Ser

vice

e

i

er

Si

i

i r r c e S i e i

i i r r c

Date:

Phone #:

State: Zip Code:

Name / Company:

Contact:

Shipping Address:

City:

E-mail: (Important for Updates and Payment)

P.O. if Applicable:

Brand & Appliance Model #:

Part #: Symptom Description: (Is the problem al ays apparent is it

intermittent or does it re uire a special se uence of operations Are there any error codes displayed )

$4 for $200 $6 for $300 $16 for $800

Standard remanufacture turnaround is 3-4 business days. Standard return shipping is UPS ground or USPS mail is $12. We al ays recommend buying insurance against carrier loss/damage. Select belo :

E pedited 24-hr Ser ice:

$8 for $400 $10 for $500 $12 for $600 $14 for $700

I need this part rebuilt as uic ly as possible additional $50

E pedited eturn Shipping: UPS 2nd Day Air $40 UPS O ernight $70

Special Shipping Instructions: ( or e ample Ship USPS only No Signature e uired Ship after 00/00/00

Mailing payment ith the defecti e part is preferred but not re uired before ser ice. Money orders and chec s should be payable to i ourBoard.com. A credit card may be submitted belo . If payment is not sent prior to repair an in oice ill be e-mailed upon repair completion. hrough the in oice payment can be remitted by credit card debit card or Paypal.

Card older Name:

Credit Card #:

E piration Date:

If the part number is not listed on our ebsite please call or e-mail to get a rebuild uote.

Quoted epair Price:

i ourBoard.com C arrants this repair to be free from defects in or manship for a period of 2 years from date of paid in oice. iability is limited to repair of the part described herein hen returned to our facility transportation prepaid and sub ect to our inspection appro al. Misuse or mishandling of said repair part ill not be sub ect to arranty repair. Parts returned but determined to ha e No- ault- ound ill be sub ect to return shipping and bench fees.

er Si re

Se i r i e e ec ive r

08/18/15

CVV Code:

Name / Company:State:Quoted Price:Credit Card: Visa MC Amex Discover

Date: Contact: Phone: Address: State: Zip: email: PO: Part: Brand: Describe1: CC: CCName: CCDate: exped service: exped ship 2day: expedit ship 1 day: special shipping instru: Quoted Price: City: 200 ins: Off300: 400: 500: 600: 700: 800: CVC code: Name: