Order Form

Do you have a DVD or game rental or retail store?

Do you deal in second user games or DVD’s?

Do you regularly need discs repairing?

Would you like to offer disc repair within your store?

We offer trade pricing to those who require disc repair on a daily or weekly basis or on large quantities.

Our trade customers include DVD and game rental or retail stores, toy stores, libraries, schools, etc.

tradeenquiry@scratchdoct or.co.uk

SCRATCHDOCTOR

Professional, Quality Disc Repair and Maintenance

ORDER FORM - Please fill in all relevant information and print when completed.
Send completed form and discs to be repaired to:

Scratchdoctor, 45 Church Street, Chadsmoor, Cannock, Staffs. WS11 6DN


	Name


	Adddress


	Postcode


	Daytime Phone No.


	Email


	Repair Details


	I have sent


	Payment Details


	discs @


	Total amount due £

Disclaimer

I authorise Scratchdoctor to repair the enclosed discs. I understand that certain label damage is not repairable and/or it may not be possible to completely repair these discs. Scratchdoctor is not financially responsible for any customers discs lost or damaged during shipping. Scratchdoctor bears no responsibility for customers discs other that a certified carrier will be used to ensure secure return shipping.

My signature represents my agreement with these terms and conditions.


	Signature


	Date

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