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Ship to: Imagin Systems Corporation
            517 Marine View Ave. #H
            Belmont, CA 94002
     CATAPULT MEMBERS & ASSOCATES

RMA# & Date
For Imagin Only

 IMAGIN APPROVAL NUMBER

ITEM DESCRIPTION FOR REPAIR:                                         SHIPPING INSTRUCTIONS:

PLEASE SELECT A RETURN SHIPPING SPEED, 
UPS GROUND IS STANDARD IF LEFT BLANK                                    

 TO FINISH:          STEP 1:  PRINT THIS FORM BY TYPING...  CTRL - P
                                    Make Sure You Put a Copy of this Form in the Shipping Box!
               STEP 2:  PRESS THE SUBMIT BUTTON BELOW TO SUBMIT THIS FORM

Please Read the Following Conditions Carefully:

• Please take care when packaging your items to prevent damage in transit.
• All repairs will be given a 90-day limited warranty for parts and labor unless otherwise stated on the quotation provided. Equipment left over 90       days will be scrapped & we aren’t responsible for them after that point.
• If an Item is unrepairable a $50 return shipping/handling fee will need to be made to receive items back.
• Please include the amount of insurance you want on return shipping; we are not responsible for lost items. Roughly estimated $1000 insurance 
  equals $10.00 of additional shipping cost. All Shipments without stated Insurance will automatically have $1000 insurance added.

By Submitting this Form, You Understand the Conditions Above

Thanks for submitting!

Clicking on these shipping Icons, only helps direct you to these shipping sites.
(you must organize your own shipment due to liability)

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