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        Repair Packing List          
                 
  KEH.com Repair Center   Account #   1002  
  4900 Highlands Pkwy SE          
  Smyrna, Ga. 30082   Reference #    
  Office:  770-333-4210          
  Fax:  770-333-4214   Date Arrived:     
           
    Email:  repairs@keh.com     (above information to be completed by KEH)
  Customer Information          
 
Name                  
Address                  
City     State       Zip    
   
Phone       Cell          
   
Email              
                   
Equipment
  Brand   Model       Serial Number  
1                  
2                  
3                  
4                  
5                  
Problem with Items (list 1, 2, 3, etc.)   Notices
    Not responsible for equipment or accessories 
    which are not listed above
   
    Equipment for which estimates have not been
    approved within 30 days of the date received
    will be charged a $1.00 per day storage fee.
   
    Equipment which has been repaired, but not paid
    for within 30 days of the repair completion date,
    will be sold to offset repairs costs.
   
   
           
          Customer Signature

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