Timer Repair Form Ship to: FarmTek, Inc. 1000-D Hwy 78 North Wylie, TX 75098 Fill out this form, print it, and include it in the box with your repair. Contact Name Daytime Phone(s) Date Needed Back Club/Organization Mailing/Billing Name Address City, State, Zip Shipping Name Address City, State, Zip Shipping Phone Payment Method COD  Credit Card  Warranty Card Number    Expires Name as on Card Address where You Receive Credit Card Bill Problem Description © 2007 FarmTek, Inc.