Scuba.com
Repair Service Request Form

To help us process your repair quickly please print this form, complete and
include it in the box with your repair.
Please note that the more detail you provide to us will result in the faster processing of your repair.

First Name: _______________________________________ Last Name: ________________________________________
Address: ____________________________________________________________________________
City: ________________________________________________ State: __________________ Zip: _________________
Phone: ______________________________________________ Email: ____________________________________

Payment Option:

__ Credit Card Name on Card _______________________________________________
__ Call for Payment Credit Card# _______________________________________________
  Expration Date (MM/YY) _______________________________________________


Item for Repair Serial Number Date of Last Service
     
     
     


Reason for Repair:

__ Non-Warranty Service/Repair __ Warranty Service/Repair* __ Other
*Must provide proof of warranty. Copy of your receipt of purchased from an authorized retailer, warranty card, etc... 

Explanation: (required for repair)
Please note that the more detail you provide to us will result in the faster processing of your repair.
say: "Broken zipper halfway under left arm"       instead of: "Broken zipper"
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

Our Repair Policy

Unless the customer provides proof of warranty (Copy of your receipt of purchase from an authorized retailer,
warranty card, etc.) the cost of parts will be added to the estimate.
Note: Tanks may need internal cleaning and/or liner removal which may increase the cost of servicing substantially.
Scuba.com is not responsible for equipment not paid for within 90 days
and all such equipment will be sold to recover repair costs.


Signature:_______________________________    Date:______________

 

Questions?
  Phone:   800-34-SCUBA
  Email:   repair@scuba.com
  Scuba.com Service Department
  1752 Langley Avenue
  Irvine, CA 92614