Contractor Repair Authorization Form

Attention!!

* Verizon Employees cannot use this form. Use this one.

** ALLTEL Contractors cannot use this form. Use this one.

*** If you have any questions regarding this form please call Wayne at 360/403-9194.

**** Do NOT send units for repair via the US Postal service. We do not have mail delivered to the repair center address. Send via parcel carrier (ie., UPS, Airborne, Fed Ex etc.)

Please contact us to select/confirm payment terms and receive a RA number prior to sending any units in for repair. Any units received without having done this will be refused and returned to sender.

Ship All Repairs to:

Hayton Systems
Attn: Repair
19114 61st Ave. N.E., Unit #2
Arlington, WA 98223

ATTENTION:

Please do NOT send any equipment other than what needs to be repaired.

If you are sending a Palm Unit in for VTS Software Update only (not repair), please do not send in anything but the Palm Terminal(with the battery please).

Sending extra equipment will only increase shipping and handling charges.

If you are having problems determining what the problem piece is, call 1.360.403.9194 for help.

Thank you.

Select Payment method:

Credit Card (call 360-403-9194 to submit Credit Card Information).
PO (call Bruce at 360/659-5804,ext. 201 to submit PO number OR fax PO to 360/474-9310).
PO Number(If Applicable)

*Required information we need to complete repair process.

Customer Information

Company Name*

Contact Name*
E-mail*
Tel*

Address we will be returning the repairs to:

Company Name*

Contact Name*
Address 1*
Address 2
City*
State*
Zip*

Click Here to Locate Terminal and Cradle part # and serial #.

Repair Information

Repair 1-

Part Number
Serial Number

Problem

Repair 2-

Part Number
Serial Number

Problem

Repair 3-

Part Number
Serial Number

Problem

Repair 4-

Part Number
Serial Number

Problem

Repair 5-

Part Number
Serial Number

Problem

Repair 6-

Part Number
Serial Number

Problem

We will send an email to confirm receipt of information and an RA number. Include a printout of the email in the box with the units for repair.

Ship to:

Hayton Systems
Attn: Repair
19114 61st Ave. N.E., Unit #2
Arlington, WA 98223

Call 360-403-9194 if you have problems with this form or any other questions you might have.