Quick Start Guide

De-institutionalization Service Request Card
Name:
DOC Number:
Release Institution:
Date of Birth:
Return U.S. Address
(Cannot be an institution)
Secure Device Working
Service Fee +
$10.00 S&H:
$25.00
Secure Device Not Working; Under Warranty.
(Include Warranty card w/proof of purchase)
Service Fee +
$10.00 S&H:
$25.00
Player Missing (SCORE® 7C, $120),
Replacement Device
+ Service + $10.00
S&H:
$145.00
By signing this I agree to the Terms of Service
Signature: Date:
Total Fee
$________
Exhibit B -- Warranty Request Card
Name:
DOC Number:
Device Purchase Date:
Return Address:
Problem Description: