* prefer landline
# if address confirmation needed)
(also found on model
tag - not needed for Sharp or Dacor)
________ Model ___________
Thinking Priority Mail? I do NOT recommend
"Flat Rate" boxes from the local Post Office unless you are from the West Coast,
Alaska, or Hawaii and your shipment weighs several pounds.
Instead I recommend their FREE Priority Mail Box # 7 from their Web site
here. They ship them to you FREE and you can share excess boxes with the
local Post Office to help other customers save money.
Ship your well-packed, cushioned
entire control panel
assembly with check**
or money order** payable
110 Groce Road
La Fayette, GA 30728
Please use the up-to-date
(form revised October 12,
To pay by credit card, debit card, or PayPal,
check your choice below, send your unit with this form (but without payment),
then we will e-mail you a payment form or invoice.
I want to pay by (check one):
___ check / money order (see below) ___PayPal
† ___credit /
† PayPal e-mail ___________________________________
I'm pre-paying $_____._____ via: ___enclosed check ___ money order ___cash (at your own
Any excess payment will be refunded. Or choose PayPal or credit /
debit card above.
** Checks and money orders are
deposited (not "cashed") as they are received, and thus will typically clear before repair completed.
$30 service charge for all returned / cancelled checks
and card chargebacks.