1.  Let us know who you are:     Company Name or Resident Name
                                                     Address
                                                     Telephone

2.  Let us know your Fax# for billing information:                                                      

3.  Let us know shipment return preference:         

4.  Once we have receive your Monitor/LCD, we will fax you with the price for the repair and will require the above information.

5.  Please also include the AC Adapter.

6. Send to:    1940 N. Tustin Ave.  Ste. 114  Orange, CA 92865

If an RMA# is desired: 

Just call:    714-632-7958