Repair Order Form:

Please complete and submit Repair Order Form below. Immediately following your order submission, you will receive a confirmation email with shipping instructions attached.

*If you have multiple parts; please list each part in numerical order.
Be sure to include the following information for each part:
→ Part Description, Serial Number and Issue.

For Example:
1. Dispenser, 0000, Getting Stuck
2. Part Description, Serial Number, Issue
3. Part Description, Serial Number, Issue

Your Name (required)

Company Name (required)

Your Email (required)

Phone Number (required)

Dropping Off and/or Picking Up your order in person? Or Shipping?
Dropping off - Picking Up - Shipping

--> Please Proceed with Shipping Information Below. (required)

Shipping Address (required)

City (required)

STATE (required)

Zip Code (required)

Is Billing Address the same as Shipping Address?
Yes - No

--> If No. Please add Billing Address below.

Billing Address

City

State

Zip code

Your Repair Order List (required)
*In the box below, please include all required information and list each part in numerical order*

Promo Code

*If you don't see a confirmation email from us, please call us: 1-877-434-9286 or email us: rma@atmrepairpro.com