Henry Radio Amplifiers Repair Request

TPL Amplifiers and more

Please fill out this form and include it in the box with your return.

Return Form

Company Name:

Customer Name:

Return Address:

Billing Address (if different):

Contact Phone Number:

Billing Email:

Shipping Account:

Amplifier Repair Form: (No RMA needed)

Model:

Serial Number:

Problem/ Service Requested:

Print Form

Please specify the frequency you want the unit tuned to if different than the label.

Specify a Ship To address if different than the info above.

Call with any questions before shipping and insure your package for full value.

Please PRINT and PACK this form with the amplifier and return to the address below:

HENRY RADIO AMPLIFIERS-REPAIR DEPT

22826 MARIPOSA AVE.

TORRANCE, CA 90502

Email us at [email protected] or call 310-534-4456 for more information.