ABC Printer Repair
3509 Montrose Ave.
Reading, PA. 19605
Phone: (610) 939-0841
Fax: (610) 939-1206

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Name_______________________________________________

Company Name_______________________________________

E-mail Address_____________________________________

Address1___________________________________________

Address2___________________________________________

City/Province______________________________________

State_______________

Zip/Postal Code____________________________________

Phone (      )_____________________________________

Fax (      )_______________________________________

Make of Printer____________________________________

Model of Printer___________________________________

Serial Number______________________________________

Articles shipped with printer.
(Please check all that apply)

Power Cord_____
Cassette(s)____
Sheet Feeder_____
Ink Cartridge(s)_____ How Many______ Color(s)_______
Toner Cartridge______
Printer Cable______
Special Attachment(s)________
Please specify______________________________________
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Problem with printer________________________________
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Special Instructions________________________________
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THANK YOU FOR USING ABC PRINTER REPAIR!