Repair order form US

  • Invoice Address


  • Shipping Address



  • Items for repair


  • QtyPart number + serial numberFault description 
    Add a new row

  • Copy of order is automatically generated to the e-mail address above

    Please include this completed form and ship repairs to:

    Eltex U.S., Inc.
    13031 E. Wade Hampton Blvd
    Greer, South Carolina 29651, USA