|
Repair Order Form
Please print and send completed form with product to:
Mercury Shaver Centre 1331 Warden Avenue, #8 Toronto, Ontario M1R 5A8
| Make |
Model # |
Fault Description |
Flat Rate |
Amount |
| |
|
|
|
|
| |
|
|
|
Flat-Rate Repair Pricing & Other Service Information
CLICK HERE |
Shipping Charge |
$12.95 |
| HST 13% NB, NL, NS, ON, PEI |
|
| GST 5% AB, BC, MB, NU, NWT, QC, SK, YK |
|
Questions? service@shavercentre.com |
Total |
|
| ( * Required Information )
|
Shipping Information |
| * Customer Name |
|
| * Address |
|
| * City |
|
| * Province |
* Postal Code |
| * Daytime Phone # |
( )
Fax # ( ) |
| * Email Address |
|
| Comments |
|
| ( * Required Information )
|
Payment Information |
| * Credit Card |
MasterCard __ VISA __ AMEX __ |
| * Card Number |
* Expiry: /
*CVV: |
| * Card Holder Name |
|
| * C-Card Billing Address |
Same As Above __ |
| * City |
|
| * Province |
* Postal Code |
[ Previous Page ] [ Home ]
|