PLAYSTATION REPAIR SEND RECEIPT
NAME:
PHONE NUMBER:
STREET ADDRESS:
SERIAL NUMBER:
                
                               
                                            CITY                 STATE                   ZIPCODE           
 
PROBLEM EXPERIENCING:
 
 
 
 
 
 
 
PAYMENT OPTION CHECK ONE:
 
CASH                MONEY ORDER            PAYPAL                CHECK
PAYMENT: PAYPAL CAN BE SENT TO [email protected]
 
ALL PAYMENTS WILL BE MADE AFTER WE RECEIVE YOUR ITEM(S) FREE GIFT WILL BE SHIPPED WITH ITEM.
CHECK OR MONEY ORDER WILL BE MADE OUT & SENT TO:
BEN HARRIS
681 FLINT RIVER RD 4-A JONESBORO GA 30238
 
PLEASE PRINT A COPY OF THIS SEND RECEIPT TO KEEP FOR YOUR RECORDS:
 
 
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