Verizon Repair Authorization Form

NOTES:

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

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

*** 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.)

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

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.

*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.