| Name: __________________________________________________________________________ Street Address: __________________________________________________________________________ City, State, ZIP: __________________________________________________________________________ Daytime Telephone Number: ( ) - __________________________________________________________________________ Best time to call: Who should we ask for? __________________________________________________________________________ Items Enclosed: __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ What Problems are you Having? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Cut Out the Shipping Label Below and attach it to the package. Be sure to pack your equipment carefully! ---------------------------------------------------------------------------------------------------------------------------------- From: ____________________________ _________________________________ _________________________________ To: BDC Camera Repair 6409 Odana Road, Suite 4 Madison, WI 53719 FRAGILE! Handle With Care. ---------------------------------------------------------------------------------------------------------------------------------- |