Repair Shop Submission Form - MarBeck.com

You may use this form for sending your appliance for repair
Please include all of the following information: (Note: No PO Boxes, please)

Name:_______________________________________


Address:_______________________________________


City:_______________________________________


State:_______________________________________


Zip Code:_______________________________________


Daytime Phone:_______________________________________


Cell Phone:_______________________________________


Email Address:_______________________________________


Method of payment for the repair:
__ Visa __ MasterCard

Credit Card Number:_______________________________________

Expiration Date: _______________________________________


Appliance Brand & Type:
(e.g., Norelco Shaver, Farberware Percolator, etc.)
Model Number:______________________________________________________________________________


Please describe the problem with the appliance:

_____________________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

Ship to:

MarBeck Appliance
9940 Widmer
Lenexa, KS 66215

Please read and understand the following before shipping your appliance to us: 

Carefully pack your product for shipment. We cannot be responsible for packages that arrive damaged in shipment.

Consider insurance for your package. Many shippers include insurance with your shipping charge or will add it for a nominal fee.

Please explain the problem with your appliance and not the solution you believe it needs. For example, our repair staff will be better assisted in fixing your appliance if you describe it as "Will not run on high" rather than "Replace the motor."

Please note that all rates are only for destinations within the lower 48 contiguous United States. We do not ship to Hawaii, Alaska, APO/FPO Boxes, or internationally.

You may pay by Visa or Mastercard. To avoid delays, please include a daytime phone number.