Service - Return For Repair Form

Instructions:

For US customers only. Some repairs will require shipment to the factory. Call us before you send us anything.
Fill in the Return For Repair form below.
Print the form.
Pack your instrument securely for shipping (do not send brackets, cables, manuals, straps, protection bag, etc.).
Include the Return For Repair form along with your instrument.
Send instrument by insured carrier to:
Brauniger USA, Inc.
Customer Service - Repairs
1126 Seminole Drive
Indian Harbor Beach, FL 32937

Return Shipping (Your street address for receiving packages -no PO Boxes)
* First Name:
* Last Name:
* Address:
* City:
* State:
* Zip Code:

Billing Address (The address where you receive your credit card bill) Same as Shipping Address
* First Name:
* Last Name:
* Address:
* City:
* State:
* Zip Code:

Phone Please include at least one phone number.
Daytime phone:		Evening phone:		Cell phone:

Email
Email Address:

Description of problem

(Please be as complete as possible)

Warranty (If this is a warranty issue please provide the following)
Brauniger Dealer Name:		Date of Purchase:
Please Note: Warranty coverage cannot be provided without this information. Warranty repairs will be returned via the same speed of service that they were sent.

Complete necessary repairs and charge my credit card below (fastest turn around)
Call for authorization of repair

MC AMEX VISA DISC

Credit Card Number:

Expiration:(mmyy)

Return Shipping
UPS Ground	UPS 3 day	UPS 2nd Day	UPS Next Day


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