Name *

First Name

Last Name

Phone

(###)

###

####

Return Shipping Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you the original owner? *

Yes

No

Has this machine been tampered with? *

Yes

No

Would you like to send in the machine for Deketo fix or fix yourself?

Send in to Deke

Fix machine yourself

Please Acknowldge *

Once Deke approves your repair request you must send in the machine, repair form, and proof of repair payment in a box labeled with your full name, shop name and address. If there is no repair form and/or proof of repair pavment in the box there will be a $25 investigation fee charged. If you agree to these terms check this box and submit your form

I Agree