PS3 REPAIR FORM
YLOD Reball $119.95
Please PRINT, COMPLETE and INCLUDE this form when you ship your PS3  

Your Name
Address
City
State      ZIP:
Phone (day)
Phone (eve)
Email
   
PS3 Serial #
OFFICE USE ONLY
paid:                      or CC
sealed:       YES        NO
games:

diag.:







   
PS3 Problems  
If disc read error or noise, when does it occur? Immediately   After Warm-Up
 
I hereby authorize Fix My Playstation (FMP) to repair my PS3. I will not hold FMP responsible for any items lost or stolen during shipping. I understand that in order to open and examine the unit, FMP will break the Sony Warranty Seal thus voiding any remaining manufacturer warranty. I understand that if the PS3 is not economically feasible to be repaired, I will receive a refund minus the $20 return shipping fee. I understand that an exam and return shipping fee of $30 per PS3 will be charged if the unit is not repairable or found to have no defect. I understand that FMP provides a 6 month warranty on labor and replaced parts on repaired PS3s, and that my PS3 will be sealed with a tamper-proof warranty seal. I accept full responsibility for any and all damage done to my PS3 if it is opened following repair. I understand while FMP attempts to make same-day repairs, some repairs require extensive labor requiring additional time or parts that may not be immediately available, and I will not hold FMP responsible for reasonable extensions of repair time estimates either expressed or implied. I understand that NO WARRANTY IS GIVEN IF THE SONY SEAL IS BROKEN UPON ARRIVAL AT FMP.
     
Signature
 
Ship your PS3 only (no cables/controllers)
with Check or Money Order for $119.95 (YLOD Reball):
6 MONTH WARRANTY (unless Sony seal is broken)

CHECK or
MONEY ORDER

Fix My Playstation
2220 Baker Road
Goodlettsville, TN 37072
(615)859-5669

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