Comtek Repair form



PLEASE PRINT AND ENCLOSE WITH YOUR 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 the problems:



SHIP TO:
Comtek, 26611 State Highway 3 N.E.
Poulsbo, WA 98370



Phone: (360) 779-9730