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Pirates Cove
Scuba
Repair Service Request Form
www.piratescovescuba.com
To help us process your repair
quickly please print this form, complete and
include it with your equipment.
Please note that the more detail you
provide to us will result in the faster processing of your repair.
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First
Name: _______________________________________
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Last Name: ________________________________________
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Address:
____________________________________________________________________________
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City:
________________________________________________
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State:
__________________
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Zip: _________________
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Phone:
______________________________________________
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Email:
____________________________________
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Payment Option:
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Credit Card
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Name on Card
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_______________________________________________
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__ Call
for Payment
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Credit Card#
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_______________________________________________
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Expration Date (MM/YY)
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_______________________________________________
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Item for Repair
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Serial Number
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Date of Last Service
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Reason for Repair:
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Non-Warranty Service/Repair
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Warranty Service/Repair*
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__ Other
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*Must provide proof of
warranty. Copy of your receipt of purchased from an authorized retailer,
warranty card, etc...
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Explanation: (required for repair)
Please note that the more detail you provide to us will result in the
faster processing of your repair.
say: "Broken zipper halfway under left arm"
instead of: "Broken zipper"
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_____________________________________________________________________________________________________
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_____________________________________________________________________________________________________
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_____________________________________________________________________________________________________
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_____________________________________________________________________________________________________
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Our Repair Policy
Unless the customer provides proof of warranty (Copy of
your receipt of purchase from an authorized retailer,
warranty card, etc.) the cost of parts will be added to the estimate.
Note: Tanks may need internal cleaning and/or liner removal which may
increase the cost of servicing substantially.
Pirates Cove Scuba is not responsible for equipment not paid for within 90
days
and all such equipment will be sold to recover repair costs.
Signature:_______________________________ Date:______________
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Questions?
Phone: 405-722-4465
Email: manager@piratescovescuba.com
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Pirates Cove Scuba Service Department
6205 N. Meridian
Oklahoma
City 73112
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