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Repair Form


 

Parker51.com - Shipping and Repair Order Form

Please pack all pens in foam or bubble wrap in boxes only.  Send pen(s) only and completed pen repair form. No manufacturers boxes, please.  If sending more than 1 pen, include a repair form for each pen.

 

Please print, enter your information, sign and send this form with your pen(s).

     Name:
 

            

     Address:
 

 

     Best Phone # to Call:
 

 

     Email Address:
 

 

Description of Current Pen Condition (missing parts, dents, cracks, damage):
 

 

Repair Request (full restoration, dent removal, etc.):
 

 

Describe What Problems you are Having in Detail:
 

 

Declared Value-the amount we will use for insurance to send the pen back to you:
 

 

 

PLEASE SEND TO THE FOLLOWING ADDRESS (NOTE: This is a shipping address only):

Parker51.com

PO Box 980236

Park City, Utah 84098

 

email: repairs@parker51.com