Please print (use browser print function) or copy this packing slip. Send this packing slip along with any equipment you ship to Executive Business Machines, Inc. for service. You can fill out this form before printing it.
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Note: We will contact you for payment information before performing any service. If you want a diagnosis & estimate before repair please indicate this in the instructions area below or when we contact you. If you decide not to repair the equipment after the diagnosis & estimate you will be charged only for the time required to make the diagnosis. Equipment reassembly and return shipment will be at your option and expense.

Use this area for any questions or instructions to us.
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Use this area to describe the problem you are having. Be as specific as possible.
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Important instruction for shipping your equipment: All items shipped should be packaged in a suitable container and be well padded to prevent damage during shipment. Executive Business Machines, Inc. is not responsible for damage during shipment. Retain all tracking information in case your shipment is lost. Be sure to place this completed form (or all the needed information) inside the package you ship.

Ship your package to:

Att: Service Department
Executive Business Machines, Inc.
1370 Old Salisbury Road
Winston-Salem, NC 27127

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