SERVICE REQUEST/WARRANTY FORM Pro-Match Racing 2033 S. Palo Verde Blvd Lake Havasu City, AZ 86403 Fill out entire form completely and include with your return Name:________________________________________________________________________________________ Shipping Address:____________________________________________________________________________ City:_____________________________________________ State:_______________________ Zip:________ E-Mail Address:________________________________________________ Telephone #:_________________ Does your item qualify for warranty? Y N [][]Battery was purchased new less than 90 days ago [][]Battery was never over-charged or over-discharged [][]Battery was never exposed to excessive heat [][]Battery was always kept dry and never allowed to come in contact with metal [][]Battery was always connected correctly and used only in the manner for which it was intended * If you answered no to any of the above questions your battery does not qualify for Warranty service* Non-Warranty Service Charges Lipo packs are not servicable. Any pack that is determined not to be within the terms of the warranty will be returned to the owner at their expense or properly disposed of otherwise. Shipping and Handling is weight based (we will contact you with exact price) Please give us a brief statement about the battery you are sending back and why. _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ C/C#_________________________EXP_________PAYPAL ACCOUNT ADDRESS______________________________