Score Components Inc
PO Box 1283, Monticello, MN 55362
Scoreinc.org
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Contact information:
Date:
Name:
Phone:
Email Address:
Ship To:
Name
Address
City
State
Zip code
Hearing aid information
LEFT EAR
Style: Full Shell Half Shell Canal CIC
Mini-Canal BTE Body Aid Other
Make:______________________
Model:_____________________
Serial#:_______________________
RIGHT EAR
Style: Full Shell Half Shell Canal CIC
Mini-Canal BTE Body Aid Other
Make:_______________________
Model: _______________________
Serial#:_______________________
REASON FOR THE REPAIR
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[L ][R ] Dead
Other
Other
[L ][R ] Weak
[L ][R ] Cracked-BrokenShell/Recase
Payment Information: Check Money Order PayPal
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Total Amount Enclosed
(MN Residents add 7% sales tax
$______________
Make checks/money orders payable to:
Score Components
PO Box 1283
Monticello, MN 55362
(612) 817-8924
We charge a base $90.00 per aid for a standard service.
If the device is in an extreme condition, we’ll happily give you a call for an estimate.
We suggest you send your hearing aid in a sturdy box via an insured and traceable means such as USPS Priority Mail. Please allow one-two weeks for standard repair processing time. Please call if you must send by FedEx or UPS. They will not deliver to a PO box.
PLEASE NOTE
Please give COMPLETE contact information, you are sending a valuable product through the mail and we need to be able to return it to you.
The charge is $90.00 each. For safety reasons, It is recommended that you have a professional take your ear impression. You or they can send it and the aids to us in a box that will NOT crush. We will reshell as per your instructions to the limit of the materials we get. We will try to get as close as possible to your audiogram, if it is included, but if these aids were not made for your hearing loss there is no guaranty of us matching your hearing loss. Please include color, style, TELEPHONE NUMBER WITH COMPLETE ADDRESS!! your email address and any other needed information. Getting your hearing aid back to you is very important to us and so many folks forget to include their contact information!
You can download the repair form here. Simply fill it out with all of the pertinent information and print it out! It is recommended that you pack the hearing aid and the survey in a sturdy box and ship it to the address provided on the repair form. You should have your hearing aid back within two weeks.
To view the repair form you will need Adobe Acrobat's Reader which you can download and install here.
Contact
Score Components Inc.
P.O. Box 1283,
Monticello, MN, 55362
Email Me
WWW.SCOREINC.ORG
Phone: (612) 817-8924
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