1.List all the items that you plan to bring for repair

2.What time slot would you prefer for the repair? (Select all that apply)

11:00am - 11:30am

11:30am - 12:00pm

12:00pm - 12:30pm

12:30pm - 1:00pm

1:00pm - 1:30pm

1:30pm - 2:00pm

2:00pm - 2:30pm

3.Please confirm that you are aware that you may need to provide supplies to make the repair possible (e.g. a zipper).

Yes I am aware.

I may need help with that.

4.Is there any information you would like to tell us about your item that might be helpful?

5.What is your name?

6.If we have questions, what is the best way to get in touch?

Email

Phone

7.Please provide your contact information

8.Would you like to be notified the next time we organize this event?

Yes

No