Trade-In Evaluation or Repair Service Request Form
Please print this form, complete the information and enclose it with your trainer.
Please include all the accessories for the highest trade value. We also want to see the charger(s) for repair services.
800-430-2010 or 231-947-2010 FAX to 231-947-6566


Ship to:

Collar Clinic

1517 Northern Star Drive,
Traverse City MI 49696-9903


Sender:

Name: ____________________________________________

Address: ____________________________________________

City, State & Zip
_____________________________________________

Daytime Telephone Number______________________________________

Email Address:________________________________

Ship to: (If different than Billing Address)

Name:
_________________________________________________

Address: _________________________________________________

City, State & Zip
_________________________________________________

Daytime Telephone Number___________________________________________

 

 

 

 

 

 

 

 



My Training Collar Information

Model:______________________________Serial Number___________________

Comments / Problems with my Trainer/ New Model Interested in?

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

I would like to purchase the following accessories:

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

My Payment information:
Or Please call me for my credit card information

Credit Card #: ________________________________________________ Expiration Date________
CVV# (3 digit code from the signature box)_________

Signature__________________________________________

Personal Checks or Money Orders should be made payable to Collar Clinic

Check or Money Order Enclosed ________________________________ Amount: $_______________
Request COD return? Yes_________ Note: $10.00 COD fee is added to the flat rate repair fee.
A money order or bank certified check made payable to Collar Clinic is required at delivery
.

www.collarclinic.com
email: support@collarclinic.com