Equipment Service Maintenance Form

Voting equipment service maintenance form can be used for existing North Carolina, South Carolina and Virginia customers.

If you are a new customer and wish to inquire about service, please contact Tammy Malone at (888) 662-4237 or tammym@printelect.com. For a list of all models we service, please follow this link.

CUSTOMER INFORMATION
County:	*
Contact:	*
Address:	*
City:	*
State:	*
Zip:	*
Phone Number:	*
Cell Number:
Fax Number:
E-Mail Address:	*


RMA INFORMATION
Packing:
Do you have packing materials?	Yes	No
Do you need packing materials supplied?	Yes	No
Shipping Material	Qty. Needed	Price
12" Ivotronic Box with foam		$69.00
15" Ivotronic Box with foam		$69.00
M100 Hard Case Box Only		$3.50
Automark Box with foam		$80.00
Automark Hard Box		$12.50
RTAL Booth Box with foam		$28.50
Comm Pack Box with foam		$26.00
Eagle		$63.75
MPR		$95.00
Shipping:	Printelect will issue RMA via UPS
	County will ship/deliver machines
Other:
What is your override password?	*
When do you need the machines repaired by?	* (e.g., date repairs needed by...)
Have all votes been collected off the machine(s)?	Yes	No


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