Get a Fast, FREE Repair Evaluation And Save Money When You Complete This Form!

Enter your contact information below and send us your damaged item(s).
You will receive a free repair quote 3 to 5 days after we receive your damaged items.

!	Please take the time to fill out our new and expanded repair-form . The additional fields will help guarantee fast and accurate processing of your repair evaluation.

In a hurry? Select Priority Repair Service by checking "Rush" in the form below.

ACS is Central Contractor Registration registered.

Form Note: Fields labeled in RED are REQUIRED.

Company:
Country:
Contact Name:
Address Line 1:
Address Line 2:
City, State, Zip:
Email: Privacy Statement
> Please enter phone numbers with digits only - ex: 4107711152
Phone:
Fax:

Instructions:

Fill out this form
Click Submit and Print
Print 2 copies
Enclose this form with your item(s)
Keep a copy for your records
Ship your item(s) to:
ACS Industrial Services, Inc.
1 Beaver Court, Unit 101
Hunt Valley MD 21030

We do not repair consumer electronics or PC motherboards/video cards.
At least 1 Item is required in the lines below.

Rush?

Manufacturer

Equip Type

Part #

Serial #

Estimated
Weight

Other:


PO #:

Other:


PO #:

Other:


PO #:

Other:


PO #:

Other:


PO #:

Other:


PO #:

Failure Symptoms:
		Shipping Note: You may experience delays in delivery to our facility from the US Postal Service (USPS). We therefore do not recommend the USPS for shipping your item to us. Preferred vendors are UPS and FedEx Express Air (not ground).

Shipping Fees: ACS looks forward to providing an evaluation for repair at no charge. However, the shipping to and from the ACS facility is the customer's responsibility.

Safe And
Guaranteed

Free Evaluations

Our evaluations are fast and FREE, no hidden charges.

Privacy

ACS will not share or exchange any of your information.

Warranty

Every repair is covered by a comprehensive one-year warranty unless otherwise stated.