EXPRESS WETSUIT REPAIR
REPAIR REQUEST FORM

PRINT THIS PAGE OUT (select "fit to page" in your printing preferences)
FILL OUT THIS FORM COMPLETELY
ENCLOSE WITH PAYMENT AND SUITS to be shipped


DATE SENT:___________________________________________________________________

SPECIAL INSTRUCTIONS: (suit needed by specific date,Please do not put "ASAP")
_____________________________________________________________________________

AMOUNT QUOTED FOR REPAIR WORK __________________________________________

AMOUNT INCLUDED FOR RETURN SHIPPING _____________________________________

NAME:________________________________________________________________________

RETURN SHIPPING ADDRESS: (please write this so we can read it)________________________

______________________________________________________________________________

DAY AND EVENING PHONE NUMBER:___________________________________________

E-MAIL: (make sure this is correct)___________________________________________________

Please describe the Brand and Model of Suit: _________________________________________

Please Describe the specific nature of your repairs in detail here:_________________________

_______________________________________________________________________________

_______________________________________________________________________________

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SHIPPING ADDRESS:
Express Wetsuit Repair
517 Seagaze Dr, Unit 3
Oceanside
, CA.,  92054
info@expresswetsuit.com