Form For Rotary Phone Repair

Fill out this form to get your rotary phone repaired. Please fill out all information to the best of your ability. The newsletter is optional per your request please just answer yes or no.

Everything that has an (*) next to it is required.

Your Info

* First Name:	* City:
* Last Name:	* State(2 digit):
* Address:	* Zip Code:	Phone Number:
* Email

Your Rotary Phone Information

* What is the style of your Rotary Phone?:
Teleco French PayPhone Custom
The Date it last worked.

Shipping Info

* How are you shipping your phone to us?

USPS UPS FedEx

Newsletter

* Would you like to receive our news letter?

Yes No

If Yes Please select all that you are interested in receiving information on.

French Style Phones Teleco Style Phones History of the Rotary

* Comments

Please enter the problem with your phone.

Submit

This page last modified 4/29/13 - Contact the Webmaster kjrll@pct.edu