California Precision Service Mail-In Repair Request Form
(Please fill out and print using the print command from your browser.)
First Name / Last Name     
Business Name
Mailing Address
City / State / Zip         
Phone Home     Work 
Cell     Fax 
E-mail Address
Preferred Contact Method
E-mail Home Work Cell Fax U.S. Mail
Model / Serial #     
Model / Serial #     
Accessories Included
 We request you do not include any accessory items unless it is related to the problem / service requested.
Batt Film Strap Sample Pics
A/C Cord PC Cord Memory Card  MB/GB
Problem / Service Requested Leaving this section blank will delay your repair time.
Warranty PLEASE PROVIDE A COPY OF YOUR WARRANTY CARD AND DATED PROOF OF PURCHASE
Non-Warranty

An estimate will be sent to you via your preferred contact method. No repairs or service will be started without the customer's authorization. If you would like to pre-approve your repair to a specified amount, please fill out the section below.
Pre-Approve

Please repair or service my camera right away if the cost is at or below $
We will contact you with an estimate if the cost exceeds this amount.
SEE CREDIT CARD INFO BELOW
Credit Card Type Visa,MasterCard, or American Express
Credit Card #    Exp Date /