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Repair Authorization

Repair Form

Please fill the form given below with your and product details so that Samsung can authorize the product return request as soon as possible.

Customer Details

Date of Request 05-21-2012
Company *

Address *

City *

State/Province *

Zip/Postal code *

 
 
*required fields
Contact *

Phone * - -

Fax - -

Email *

 

Product Details

*required fields
 
Model # *

Serial # *

Describe Problem *

Is Product In Warranty *

 
 

 

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