Name
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Company legal name (for example: Best Widgets, Inc.)
*
What company address should we use on your invoices?
*
Please provide at least a City and State
Would you like to add insurance coverage for these laptop returns?
No, decline insurance coverage for all laptop returns in this batch
Yes, up to $1,000 for each shipment ($10/laptop return)
Yes, up to $2,000 for each shipment ($20/laptop return)
Yes, up to $3,000 for each shipment ($30/laptop return)
Yes, up to $4,000 for each shipment ($40/laptop return)
Yes, up to $5,000 for each shipment ($50/laptop return)
Would you like to add insurance coverage for these laptop returns?
No, decline insurance coverage for all laptop returns in this batch
Yes, up to $1,000 for each shipment ($10/laptop return)
Yes, up to $2,000 for each shipment ($20/laptop return)
Yes, up to $3,000 for each shipment ($30/laptop return)
Yes, up to $4,000 for each shipment ($40/laptop return)
Yes, up to $5,000 for each shipment ($50/laptop return)
Would you like to add insurance coverage for these laptop returns?
No, decline insurance coverage for all laptop returns in this batch
Yes, up to $1,000 for each shipment ($10/laptop return)
Yes, up to $2,000 for each shipment ($20/laptop return)
Yes, up to $3,000 for each shipment ($30/laptop return)
Yes, up to $4,000 for each shipment ($40/laptop return)
Yes, up to $5,000 for each shipment ($50/laptop return)
Would you like to add insurance coverage for these monitor returns?
No, decline insurance coverage for all monitor returns in this batch
Yes, up to $1,000 for each shipment ($10/monitor return)
Yes, up to $2,000 for each shipment ($20/monitor return)
Yes, up to $3,000 for each shipment ($30/monitor return)
Yes, up to $4,000 for each shipment ($40/monitor return)
Yes, up to $5,000 for each shipment ($50/monitor return)
(optional) Enter a purchase order # if you'd like us to reference it on the invoice
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