Phototronic Services Repair Form
Fill out the following form, print it off, and return with your equipment for repair
To print off the form click on File then Print. You can also print an address label here.
Please use this reference on all correspondence Date: : :
Name:

Return Address: Is this a rural address? Yes No

Phone: Cell:  
E-Mail :
Equipment Details:
Make: Model: Serial number:
Make: Model: Serial number:
Accessories :
Case
Negs / print
Lens Hood
Filter
Body Cap
USB / Power Cables
Battery
Film / memcard
Lens Cap
Strap
Rear Cap
Remote Control
Type Of Repair:
Proceed Go ahead up to $ inc gst
Warranty Repair Please ensure warranty card and proof of purchase are included
Estimate

Please ensure correct inspection fee has been included
 

Film - Compact, SLR, Accessories
Digital - Compact, Accessories

 $45.00
Digital - SLR, Video Camcorders $75.00
Projectors & Film Scanners $75.00 Excludes F&P

CC Details: Exp:
Name: Type:

Bank details for Internet Banking: - Westpac - 030726-0528285-00

Description of faults / work required :