Toll Free: 1-800-753-7702
Albany: 518-753-4500
Buffalo: 716-568-9503


Welcome to Quality Retail Systems New Online Repair Request Form. Please use this form to replace the 4 part forms previously used. Upon submitting the case, you will receive an e-mail with a case confirmation. A copy of the attached document must be included with your shipment(s). Please submit one form per unit.


State: Mailing Date:


Model / Item: ASSY / PART: P.O. Number:
Serial #: Date Code:


Shipping Instructions:


Alternate Ship To:     


Expedite - $30.00: Estimate Required:
Repair: Modify/Update:
QRS Warranty: Epson Warranty:
Prior Case #: Date Last Sent:


Please ship all units to:
Quality Retail Systems
Attn: Repair Center
1531 State Rt. 67
Schaghticoke, NY 12154
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