Comtek Repair form PLEASE PRINT AND ENCLOSE WITH YOR RADIO     Your Information First Name:   Last Name:   Address:       City:   State:   Zip code:       Phone (home):   Phone (work):   Phone (Cell):       E-Mail               Product Information     Model Name:   Serial Number:           Please describe Problem(s):                                       Ship to: Comtek, 26611 Hwy 3 N.E., Poulsbo, WA 98370