Replacement Request

CRT and LCD Replacement Request

Name(Required)

Email(Required)

What kind of monitor you would like to replaced?

Size of the monitor(Required)

(Measure diagonally in inches)

What type of monitor is it?(Required)

Input Power(Required)

Manufacturer label / Controller label

Max. file size: 32 MB.

Serial number of the monitor (label)

Max. file size: 32 MB.

Upload front of the machine:

Max. file size: 32 MB.

Upload picture of video cable connector with visible pinouts.

Max. file size: 32 MB.

Upload picture of CRT label located at the back of the CRT

Max. file size: 32 MB.

Additional Notes

Name

This field is for validation purposes and should be left unchanged.