Our Mailing Address:
Cell Phone Repair
5517 Odana Rd.

Madison, WI 53719

Company
First Name
Last Name
Address
City
State
Zip Code
Contact Numbers
Email Address
Manufacturer
Model
ESN / IMEI

Please describe the problem your having with the phone.

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Do you need a RUSH turnaround? (please call to check on parts availably first)

Same Day $25 ____, 2 Days $15____, 3-10 Days FREE____
Credit or Debit Card Type____________ (visa, mastercard, amex, etc.)
Card Number_______________ Exp Date_________

***Credit card info is not required, only for RUSH Repair Service***

We provide FREE estimates. If you choose not to have your phone repaired we will ship it back at your expense or donate it to charity.

Signature _________________________________________________________
We Require Your Signature Authorization To Repair Your Phone.

CLICK HERE to print this page and send the completed form with your phone.