Work Order Request Form

Work Order Request Form
What is your Return Authorization number?*
If you do not have a Return Authorization number, please contact Astro-Physics.
What equipment are you sending in for repair?*

Mount or Mount Components (e.g. motor gearboxes, axis assembly, etc.)Telescope or Telescope Components - With Optics (e.g. lens in cell)Telescope or Telescope Components - Without Optics (e.g. tube assembly, focuser, etc.)Keypad, Control Box, or Other Electronic EquipmentOther Components and/or Accessories
I understand that Astro-Physics incurs cost to evaluate my problem and a minimum $45 evaluation fee will be due if no problem is found. There is no evaluation fee if a problem is confirmed and repaired or if the problem is repaired under warranty.

I understand and agree to pay an evaluation fee no less than $45 if the above circumstances do not apply.
I understand that Astro-Physics will charge a minimum of $350 if telescope optics are sent in with a repair. If the problem is covered under optics warranty, there will be no charge.

I understand and agree to pay a minimum charge of $350 if my problem is not covered under optics warranty.

Contact Information

We DO NOT share personal information!
Name*

First NameMiddle InitialLast Name
Primary Phone Number*
Include country code if you are not in U.S.A. or Canada
Secondary Phone Number
Include country code if you are not in U.S.A. or Canada
Primary Email*
example@example.com
Secondary Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province (enter "none" if does not apply)

Postal / Zip CodeCountry
Please indicate whether your address is Residential or Commercial*

ResidentialCommercial
Return Shipping Information
Is your shipping address the same as the address listed above?

My shipping address is the same as the address listed above.My shipping address is different than the address listed above.
Address

Street Address

Street Address Line 2

CityState / Province (enter "none" if does not apply)

Postal / Zip CodeCountry
Please indicate whether your address is Residential or Commercial

ResidentialCommercial
Preferred Shipping Service*
Preferred International Shipping Service*
Insurance Value for Package*
If you would not like to insure your shipment, please type "0"
Special Shipping Instructions:
If N/A, leave blank
Would you like to waive the requirement for signature upon delivery?*

No, please request signature upon deliveryYes, and I understand I do so at my own risk
Please note, due to current guidelines, we cannot guarantee that UPS will obtain a physical signature, even if a signature is requested.

Items in Shipment and Work Requested

Please provide as much detail as possible to help us serve you better!
Please confirm the following:*

I have confirmed with Astro-Physics what items need to be included with my shipment.I am not including unnecessary items in my shipment, such as mounting plates, counterweight shafts, etc.If I am sending in a control box for evaluation or repair, I am including all cables.
Please list ALL items, parts, etc. that you plan to ship to us for upgrade, evaluation and/or repair. Include any serial number(s), if applicable. If you are sending a component part (i.e., control box) please tell us what it belongs to:*
(e.g. CP3 control box [CP3-1234] for 900GTO [900123] with Y-cable and locking power cable; 130GTX [Ser. No. 130GTX-123] lens in cell with Pelican Air carrying case.)
Please explain the reason for this work request and tell us what you would like us to do.*
If you have photos, PE plots or other files you think would be helpful, you may add them as attachments here.

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If you are aware of previous service to this unit by Astro-Physics, please let us know any details you can recall.
Please click "Review Answers" below to continue.
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Contact Information