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.

 

Address:
City:
State: Mailing Date:
Zip:

 

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

 

Shipping Instructions:

Customer:                

Alternate Ship To:     

 

Expedite - $30.00: Estimate Required:
Repair: Modify/Update:
QRS Warranty: Epson Warranty:
Bixolon 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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