Name*:

Company:

Address Line 1*:

Address Line 2:

City, State, and Zip Code*:
PAALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPRRISCSDTNTXUTVTVIVAWAWVWIWY

Telephone Number*:

Email*:

Printer Brand*:

Printer Model*:

Printer Serial Number:

Please provide a detailed description of the problem you are experiencing*:

Is the printer still under warranty*:
[radio* warrantystatus "In Warranty" "Out of Warranty" "Unsure"]

Date printer was purchased*:

DPD Computer Center is a certified warranty repair center for Epson, Okidata, and certain Xerox Phaser printers. For all other brands, we can perform the repair under the warranty period, but full labor and parts charges will apply.

 I understand that DPD Computer Center is not responsible for any damage caused to my printer during shipping to and from our location. I am responsible for notifying DPD Computer Center to add insurance, and for covering the additional insurance expense.