MONITOR DEPOT, INC
5359 West Richey Road Houston, Texas 77066
CALL: (281) 580 - 5656 After Hours (281) 450 - 1064
Note: Print this form and then complete by hand.
STEP 1: Ship to Information:
Name: _________________________________________________________
Attn: ___________________________________________________________
Street:___________________________________________________________
City: ____________________________, St __________ Zip_______________
Tel: ( ____ ) ______ - _______
E-mail:_____________________________________________ (print clearly)
SN: _____________________________ Include the Charger with the laptop
Password (if any, or set up "guest" account) : __________________________
Problem description:
_______________________________________________
__________________________________________________________________
RMA # issued
______________
Insurance
value you would like for return shipping (if any) $ _____________
You can use the following for a shipping label to us if desired:
Ship to:
MONITOR DEPOT, INC