Repair Ticket

"*" indicates required fields

Contact Information

Barn Name

Name*

First Last

Email*

Phone

Shipping Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Billing Information*

Street Address City State / Province / Region ZIP / Postal Code Country

Product Repair Information

Product Name

Quantity*

Please enter a number from 1 to 50.

Product Name*

List of products to be repair*

Describe Problem*

Please enter a description for each repair

Are your Items Clean*

Yes

No, please send out my item to get clean

All items need to be clean prior repair inspection. Cleaning charges vary.

*Shipments received by EQUITEX without an RT number will be refused. Items must be inspected by EQUITEX technicians to determine whether they can be repaired or not. Items must be clean before inspection.

Charge my credit card on file

Call for new credit card information

Phone

This field is for validation purposes and should be left unchanged.

888.378.4839

Award Winning Stable Accessories Since 1985

Contact Information

Product Repair Information