United Visual Summer Service Form

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Summer Maintenance 2009

Request a Free Pickup (Northern Illinois Only)

Download Fax Form

To request a free pickup please fill out the following form or call your United Visual Representative or call Samantha Carlson at 630-467-1457. If you phone for a pickup, please be sure to specify you want summer service. (All information submitted to United Visual will be held in confidence.)

School or District:
Contact for Pick Up/Delivery:
Phone:
Email:


Contact for Estimates:
Phone:
Email:


Requested Week of Pick Up:
Week of:
Please keep in mind this is a request and is subject to change. Regardless of when your equipment is picked up we guarantee delivery of your completed equipment before the school year resumes.

List of Equipment to be picked up:
Please estimate the amount as accuratley as possible. If you do not have a fairly accurate estimate at this time, please note it above stating "rough" estimate.


Estimates:
I approve all overheads requiring additional work up to $75 or without an estimate.
I approve all VCRs requiring additional work up to $65 or without an estimate.

Please mark all units being sent in as "Summer Maintenance" or "SM". Please remember to remove all overhead roll attachments, acetate rolls, and cores whenever possibile to eliminate any additional charges. If you are aware that a unit needs additional work, please mark it accordingly.


Return Deliveries:

'09 - '10 School year resumes:
Requested Week of Pick Up:
Week of:
(Please state "any" if school is open normal business hours during the summer.) Again, keep in mind this is a requested date and is subject to change. We guarantee return of your repaired equipment before the school year resumes.


Special Instruction for Pickup or Delivery:



Contact Sam at 630/467-1457 or at [email protected] with any questions or concerns.


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