Bexley Pen Repair Form

Main SSI

Please print this page on your computer's printer. Fill in the following
information, then follow the instructions below.

Name _________________________________________________________

Return Shipping Street Address __________________________________

_______________________________________________________________

(please note that the parcel service we use does not deliver to a Post Office Box)

City, State & Zip code ___________________________________________

Daytime Phone Number _________________________________________

E-Mail Address _________________________________________________

Please describe the nature of the problem to be resolved:

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

_______________________________________________________________

We ask that you do the following when you make a repair shipment
to Bexley:

a) Empty any ink from the pen and rinse off the nib with cold
water.
b) Wrap your pen so that it will not be damaged during shipment,
and put it in a small, sturdy cardboard box.  
(It is not necessary to return it in the original packaging.)
c) Include this Repair Form, fully filled out.
d) Include a check or money order for $7.00, payable to
Bexley Pen Company, to cover return shipping and insurance.
e)

We recommend that you insure the package for the full
replacement value, and ship it in a manner that lets you track the
delivery (USPS Delivery confirmation, UPS, FedEx, etc.).
Our address is :

The Bexley Pen Company
2840-B Fisher Road
Columbus, OH 43204
USA
telephone: 614-351-9988