DC Jack Repair Form

Please fill out the information form below fully before hitting the send button. Double check to make sure you have filled out everything correctly. We will processes your request shortly.

Email

Company

Contact

Phone

Address

City

State

Zip

Manufacturer

Model Number

Serial Number

Insured for Shipping YesNo
Insured value

Reference or PO Number

Description/Problem*


Please be sure to include a working AC adapter with your laptop for testing.
Without one, we may not be able to verify the work being done. Thank you.

 

 

* All fields required. If for some reason your part does not have one or more of these then leave them blank, however fill out as much as you can for the most accurate results.
If you have any questions or concerns about this form please be sure to call us at 908-252-1940.

 


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