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Camera Service Form: Customer Information

This document is a camera service form for Fujifilm Canada. It requests customer and product information including the customer's name, address, phone number, email, camera model, serial number and date of purchase. It also asks the customer to describe the problem and select whether the service is under warranty or not. The customer can pre-approve repairs up to a specified amount and choose their payment method. The form provides shipping instructions and contact information for Fujifilm camera service.

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56 views1 page

Camera Service Form: Customer Information

This document is a camera service form for Fujifilm Canada. It requests customer and product information including the customer's name, address, phone number, email, camera model, serial number and date of purchase. It also asks the customer to describe the problem and select whether the service is under warranty or not. The customer can pre-approve repairs up to a specified amount and choose their payment method. The form provides shipping instructions and contact information for Fujifilm camera service.

Uploaded by

Anonymous nRHcihCN
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CANADA

CAMERA SERVICE FORM

Please complete this entire form and send it with your product. Any information provided by you on this form for servicing purposes (service information) will be used by FUJIFILM to provide this service, and may be disclosed to third party services providers in order to provide same.

Customer Information:
First Name: Phone: Address: City: Province: NB Postal Code: Last Name: Email:

Product Information:
Camera Model: Serial Number: Date of Purchase:

Problem Description:

Service Information
Warranty Non Warranty Please provide a copy of the Proof of Purchase to validate warranty service. Physical damage is not covered under warranty No service will be done without your approval of our estimate, which will be faxed, emailed or mailed to you. You may preapprove the service, however, up to a specified amount, by completing the Service Pre-Approval section of this form.

Service Pre-Approval
Please repair my camera if the repair cost estimate is less than (see box). Freight and tax charges are extra and not included in repair cost. Please notify me if the cost estimate exceeds this amount. I wish to pay by (check one): Cardholder's Name Card Number Expiry Date Visa Mastercard Cheque $

Exchange (Pro Cameras Excluded)


For a faster repair time, would you like FUJIFILM to replace your product with a Recertified Unit of Like External Condition (If available)? Send Product To: Fujifilm Canada Inc. Camera Service 600 Suffolk Court Mississauga, ON L5R 4G4 Yes No

Print Form

We recommend that you do not send any accessory items unless requested by the Camera Service Dept. If instructed to include accessory items, list the accessories in the Problem Description field. FUJIFILM is not responsible for lost accessories. Please ship your product via a carrier service with a means of tracking your package. Insure all shipments and please keep a record of the tracking number and product serial number in the event you must trace the package. FUJIFILM will not assume responsibility for loss and/or damage during transit. If you have any questions please contact FUJIFILM at 1-800-461-0416 or [email protected].

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