| Telephone Service OrderTo send in your phone for repair, fill out this form, print 
    it, and send it in with your phone.  
      
        | Send the phone to: Richard Rose2636 Suzanne Circle
 White Bear Twp, MN  55110
     | Your Information: Name:_______________________________________________ Address:____________________________________________ City, State____________________________________________ Zip Code_____________________________________________ Phone #______________________________________________ E-mail______________________________________________ | 
      
        | Work to be done: | Price |  
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        | Return shipping for all phones other than Ericofon (USA 
        only) | $16.95 |  
        | Return shipping for Ericofons (USA only) | $13.95 |  
        | Total amount |  | Payment method: You're choice of personal check, money order, Paypal, credit card (via 
	invoice),
 Venmo, Cashapp, or Zelle
 
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