ThirdPartyCon
 
 
Third Party Request for Consumer Form
*Required Fields
Company Name* Store #*
Contact Name* Email Address*
Return Shipping Address*
  City* State* Zip*
Phone #* Ext. Fax Number*
Thomson Service Billing Account Number*
 
*Required Consumer Fields
First Name* Last Name*
Address*
City* State/Prov* Zip*
Phone Number* Date of Purchase*  
Email*
Model Number* Serial Number* Complaint Claim/PO*
Remember:
:. The assigned service Request (SR) number must appear on the outside of the correct unit's return shipping carton.
:. Ship the main unit only: No Accessories(access cards, remote, cables, power cord, or manual).
:. Units received without a valid SR Number will be returned AS-IS
:. If you are shipping multiple units in the same carton, please enclose a copy of this form.

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