Martin pellet stove repair order form

Shipping Address	Shipping Method
First Name: M.I. Last Name : Address Line1: Address Line2: City: State: Zip Code: Day Time Phone #: E-mail:	UPS Ground $12 UPS 2 day $Cost UPS Overnight $Cost Billing Method Visa MasterCard American Express Money Order Check (Hold 10 days)
Billing Address
First Name: M.I. Last Name : Address Line1: Address Line2: City: State: Zip Code:	# units returned for repair $149 each plus shipping If using a credit card, please call 1-800-598-6904 to submit account number and expiration date.

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