RETURN FORM FOR AVOCET VERTECH
BATTERY SERVICE * REPAIR *

Please fill out the form, print it, and include it with your product for fast service.
No return authorization is required. This form does not submit electronically.
Name
Email Address (required)
Daytime Phone (required)
Address
City
State / Zip / Country
Product / Color
Serial # (Vertech)
Dealer / Purchase Date (month/year)
Services Requested
Vertech battery service
$25 including return shipping*
Pre-authorization to install new Vertech case if case is found to leak when battery service is performed.
$75 New case body and battery service.
including return shipping*
Comments/Ship to/ Other service. Please describe problem.
PAYMENT- We accept and prefer personal checks for USA residents only. All foreign payments via money order/cashier checks in USD. You can also pay for your services with VISA, MASTERCARD or AMEX. Name and address must match credit card billing information. If shipping address is different than billing, indicate shipping address in the comment box above.
Card number / Expiration date **include spaces between numbers**
Signature
Send form with product to the address below. Be sure to include your telephone number, a street address and email. *Above charges for USA residents only. International to add $12 (Canada $10)for additional postal freight. $5.00 return fee for all non repaired Vertechs. International return fee is $12.00 (Canada $10.00)

Avocet Service Center
180 Constitution Dr. #2
Menlo Park, CA. 94025
Tel. 650-470-0478