video game player repair information form

2
Video Game Player Repair Information Form (Please complete and return this form in the video game player shipping box and keep a copy for your records) Customer Information: Name __ _________________________________ Product Information: Brand _________________________________ Service Request (SR#) not required____________ Serial #________________________________ Return Address (Please No PO Boxes)____________________________ Model #________________________________ City________________ State ____ Zip _______ Email Address____________________________ Your email address is used to provide repair status updates Phone __________________________________ Please provide a brief description of the problem you are experiencing with your video game player/disc.. ________________________________________________________________________________ _____________________________ ________________________________________________________________________________ _____________________________ ________________________________________________________________________________ _____________________________ _____________________________________________________________ PLEASE ENSURE THE FOLLOWING BEFORE SEALING YOUR PACKAGE: o Please DO NOT send cords, controllers, battery packs or other accessories. o PS3 customers do not need to remove the internal hard drive from their console. We only need your video game player to repair your unit. If you believe an accessory is defective or may be related to the cause of your problem and you are sending the accessory with your video game player, please take a moment to carefully indicate any additional items you are sending. Game Controller Video Game (name of game)________________________ Power Cord Other __________________________________________ AV Cables Hard Drive (size_____________) Memory Card ***Important Disclaimer*** Neither Service Provider nor Warranty Administrator shall be responsible for damage to, loss of, or disclosure of any data, game files, removable storage media or other content on products sent in for repair. You are responsible for backing up any data, game files, removable storage media or other content before sending your product for repair. Neither Service Provider nor Warranty Administrator shall be responsible for returning any accessories not listed

Upload: dan-hoy

Post on 04-Oct-2015

215 views

Category:

Documents


0 download

DESCRIPTION

Asurion Video Game Player Repair Information Form

TRANSCRIPT

Video Game Player Repair Information Form(Please complete and return this form in the video game player shipping box and keep a copy for your records)Customer Information:Name ___________________________________Product Information:Brand _________________________________Service Request (SR#) not required____________ Serial #________________________________Return Address (Please No PO Boxes)____________________________ Model #________________________________City________________ State ____ Zip _______Email Address____________________________ Your email address is used to provide repair status updatesPhone __________________________________Please provide a brief description of the problem you are experiencing with your video game player/disc..____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________PLEASE ENSURE THE FOLLOWING BEFORE SEALING YOUR PACKAGE:o Please DO NOT send cords, controllers, battery packs or other accessories. o PS3 customers do not need to remove the internal hard drive from their console.We only need your video game player to repair your unit. If you believe an accessory is defective or may be related to the cause of your problem and you are sending the accessory with your video game player, please take a moment to carefully indicate any additional items you are sending.Game ControllerVideo Game (name of game)________________________Power Cord Other __________________________________________AV Cables Hard Drive (size_____________)Memory Card***Important Disclaimer***Neither Service Provider nor Warranty Administrator shall be responsible for damage to, loss of, or disclosure of any data, game files, removable storage media or other content on products sent in for repair. You are responsible for backing up any data, game files, removable storage media or other content before sending your product for repair. Neither Service Provider nor Warranty Administrator shall be responsible for returning any accessories not listed above as well as any shipping damage incurred by not following the enclosed instructions. By signing below, you acknowledge that you have read and agree to this statement._________________________________________ _________________Signature Date_________________________________________Print Name Here