Please print this entire form and send it with your product to the address
below.
(Information entered into this form online will not be collected or stored.
Please send this form to the address below for processing.)
First name:
Last name:
Phone:
-
-
E-mail address: (*)
*
We strongly recommend providing e-mail addresses.
E-mail will remain private.
Address 1:
Address 2:
City:
State:
ZIP:
Model:
Serial #:
Problem: (if you need more
space, write on the back)
Warranty
All warranty
repairs MUST have a copy of the Warranty Card and a Dated Proof
of Purchase. Warranty does not apply if product has been damaged by
accident or abuse (see warranty card).
Non-warranty
Estimates
will be mailed to you. No repairs will be done without your
authorization.
If you would like to PRE-APPROVE your repair, please fill out the
box below.
Pre-Approve
Please
repair my camera if the cost is at or below
Notify me if the cost exceeds this amount.
$
Name on credit card:
Credit card type:
Credit card number:
Expiration Date:
/
Send your camera to:
Southern
Photo Technical Service
Attn: FUJIFILM Repair Dept.
37 NE 167th Street
North Miami Beach, FL 33162
We recommend that
you do not send any accessory items unless requested by the Camera Repair Dept.
FUJIFILM/Southern Photo Technical Service is not responsible for lost
accessories. If you have any questions please contact
Southern Photo Technical Service by calling 1-866-787-4349 or 1-305-653-7355
Authorized Service Center 
