First Name
Last Name
Email Address
Phone
Cell Phone
Fax No
Address
City
State
Zip Code
Country
Comments
TOOL BRAND
MODEL #
AIR OR ELECTRIC
TYPE OF TOOL(DRILL,RATCHET.ETC)
DESCRIBE PROBLEM OR LIST PART NUMBERS
 
             YOU CAN FILL OUT AND SUBMIT THIS FORM AND I WILL
               RESPOND USUALLY WITHIN A COUPLE OF HOURS
                  I CAN GIVE YOU AN IDEA IF REPAIR IS FEASIBLE OR
                       NOT. I CAN ESTIMATE YOUR SHIPPING, ETC                                                            THANK YOU




   


         REQUIRED :
         REQUIRED:


























             
      REQUIRED:
               REQUIRED:

               REQUIRED:
THE MORE INFORMATION SUPPLIED
 THE BETTER!