Work Order Form for Instant Repair Authorization Number. To request a general estimate click Estimate Request before filling out this form or call us to receive one.

Company:	If business related or shipping from/to a business, provide your company's name. Maximum of 35 charactors, as required by Fedex.
Full name:	Please provide your full name
Return shipping address: Please specify the return address type: Business Residential	Without your company name or personal name, example: 1234 Street Address City Name, State 00000
Contact details:
Phone numbers: Primary - - ext. Cell Fax	Example: 303-123-4567 Cell & Fax are Optional
Email	Email is optional; only used for status updates and quotes, if provided.
Payment method: Credit Card Google Checkout Purchase Order COD* Money Order Check	Please indicate how you plan to pay for repair. *CODs are only accepted from businesses.
Repair Process: Standard Repair 2 Business Day Expedite +$75.00* 5 Business Day Expedite +$45.00* 10 Business Day Expedite +$30.00*	*Note: If we unable to repair the item in the expedited timeframe, you will not be charged this fee.
Billing address, if different from above:	Please provide full name and address details for billing.
Item(s) being sent:	Please include: Brand name, Model #, serial # and any accessories sending with unit(s) Please repeat for each item being sent in for repair.
Description of problems:	Please note which item and under what conditions the problem occurs, if intermittent, any known causes, and any previously attempted repairs.
Please provide your estimate code # here: Optional.	Note: If you send in a unit with out a verbal or email estimate, a $35.00 Evaluation / Estimate Fee will apply. Please click on the "Estimate Request" link at the top of this page to avoid this.
Start repair if costs will not exceed $:	We start repairs immediately if they will not exceed this value.
If the price exceeds the email, verbal estimate or start repair cost box, indicate how you like to be contacted: Email Phone Cell Phone Fax
By submitting this form and sending an item in for repair, I understand that Spectronix is not responsible for any lost, damaged or stolen items in the mail. I also state that I agree to all of the policy's listed on the web site. I also understand that Spectronix cannot fix all units and that sometimes parts are not available or sometimes the repair is just to costly, you will not hold Spectronix responsible for any time frame promises assumed or not assumed. You also understand that certain repairs might take additional time because of the nature of the repair.