Repair or Return Evaluation Form

REPAIR OR RETURN EVALUATION REQUEST
Company Name
Name

First NameLast Name
Phone Number
Email Address
example@example.com
PO if applicable
Equipment to be Repaired or Returned
Reason for Repair or Return
Please send to Sure Controls, Inc.

Attn: REPAIRS, N981 Tower View Drive, Greenville WI 54942
Important: After submitting the form, you will be able to download as a PDF. Please download, print and include the form in the box when shipping your component to Sure Controls.

If you have questions, please reach out to us at:

920-757-0500

surecare@surecontrols.com
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