ACS Industrial Services, Inc.
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For A Free Evaluation & Quote, Please Complete The Following Repair Form

Please Note: We do not repair consumer or PC related electronics. IE: PC mother boards, video boards, etc.

Ship the item(s) to us with a copy of this completed form. You will receive a repair quote 3 - 5 business days after we receive your item(s). For time-critical items needing RUSH service, use our Priority Repair Service by checking the item's Rush? checkbox in the form below.  

Auto Fill: Enter your email address from a previous repair form to automatically set name, address, etc.   Email:  
 

Company:
* Contact Name:
Address Line 1:
Address Line 2:
City, State, Zip:
Phone:
* Email:
Privacy Statement
Fax:
 
Instructions:

Fill out this form, then click Submit. Please enclose this form with your repair shipment.

* = Required field.

Rush? Qty Manufacturer / Item Description Part # Serial # (Optional)

Notes and Comments:

Shipping Note: Due to delivery issues with our facility from the US Postal Service (USPS), you may experience delays in delivery and we therefore do not recommend the USPS for shipping your repair item to us. The most consistent deliveries to our facility are from UPS, FedEx Express (air, not ground) and DHL. We do not refuse deliveries from any carrier. This information is provided as a guideline only.

Please Verify. Please take a moment to verify that all fields are correct before clicking Submit.
Concerning Your Privacy

We respect and protect your privacy. We will ONLY use your email address to communicate with you. Your email address will NEVER be disclosed outside ACS Industrial Services, Inc.