Repair Form

Please enter the Invoice Number and the Package I.D. from the Upper Left Corner of the Invoice you received in the mail. If you were notified by phone or email and do not have a Package I.D., enter either 'Phone' or 'Email' in the Invoice # field. * Required Fields First Name: Address: City: Zip Code: Daytime Phone: Email: Cardholder Name: (please enter name as it appears on card) Last Name: Address Cont: Evening Phone: Confirm Email: State: Country: * * * * Repair Payment Form Shipping is via UPS Ground. If you want Next Day, 2nd Day or 3rd Day shipping please call customer service to pay for your repair at (214) 350-9446. UPS does not deliver to P. O. boxes, so please make sure you give us a street address. Completing this form will securely send your payment to D.T. Systems. All payments are processed within 48 hours. Personal Information Invoice Number Package I.D. * * Billing Information Credit Card Type (Click Arrow for Choices) Credit Card Number ( ex.1234567812345678) V Code (3 digits on back of card): Expiration Date Month Year Credit Card Statement Address (Required if different from Shipping Address above) Address: City: Zip Code: Address Cont: State: Country: * * * * * * * * * *