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Electronic Repair & Installation Authority
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VideoSonic OnLine Service Book-In
Full Name
Address
Phone Number/Cell
E-Mail
Model
Serial
Brand Name
Type Of Equipment
LCD
Plasma
Stereo
Installation
Rear Projection TV
Overhead Projector
Headend Repair
Satellite Repair
Nurse Call Repair Or Installation
Please Discribe The Problem Your Having with your Unit
Warranty
Yes
No
Purchase Date if yes
Do you Understand That There Will Be A Home Service And Diagnosetic Charge? (this charge will not apply to the repair of your Unit) Note: Scape this Question If Your Unit Under Warranty
Yes
No
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