Repair Request Form NOTE: You should receive a copy of your submission via email. (If you use GMAIL, it may be in your spam folder.) Required fields are labeled - (required) Your Name (required) Your Email (required) - If you use GMAIL, check your spam folder Telephone (required) Street Address (required) City, State Zip (required) Where did you hear about us? (required) —Please choose an option—FriendGoodboy VinylJupiter RecordsRainbow RecordsSqueezeBox RecordsWonderland RecordsCKuz GuitarsYelpInternetOther If Other: Drop-off date/time requested (required) - Call for special appointment, if not selectable Drop-off/House Call/Shipping (required) Drop-off - Bear DE - Daily, by appointmentPickup/House Call - extra feeMail/Ship to us --- Equipment Information --- Equipment 1 Make 1 (required) Model 1 (required) Serial 1 Date of Purchase 1 Date of Problem 1 Date of Last Service 1 Short description of problem 1: (required) Equipment 2 Make 2 Model 2 Serial 2 Date of Purchase 2 Date of Problem 2 Date of Last Service 2 Short description of problem 2: Equipment 3 Make 3 Model 3 Serial 3 Date of Purchase 3 Date of Problem 3 Date of Last Service 3 Short description of problem 3: A deposit fee of $60.00 is paid upon dropping off or mailing in equipment. The final repair bill will deduct the deposit fee. We accept Cash, Check, CashApp, or Credit Cards You can pay the deposit in advance here: CashApp (required) I have read and accept the Terms and Conditions Enter Security Code (required) Simple Math Question (required) 6+3=?