Analog Man Boss/Ibanez/etc Mod Form

Please first fill out the info below, then print and send it to me with your pedal to modify.
Choose your pedal from the list box on the left if it's there (scroll the box for more).

or other type and $:

Serial # (if exists)   Sent in orig Box?

Customer fill out this side
Extra options, in addition to mod chosen above
$15 New TS9/TS808 battery cover
$15 KWS HeavyDuty (9 series only)
$5 Bright LED Red Grn Ylw Org Blu
Power supply 9V $15 or 12V $18
$10 new TS9/TS10/Boss Switch (with a mod)
$25 new TS808 Switch (with a mod)
$5 or 2/$7 Keychain bottle opener, Les Paul
$20 FUZZ DVD
$10 tshirt s/m/l/xl rd/blu/blk/kot
$3 Analog Man Koozie can cooler, or 2/$5
(Analog Man use only)
Date received by
logged
collected
payment correct
tested pedal OK before mod
completed mod on
Mike OK'd for final test + ship
final tested on

Other charges, such as repair (please detail):
TOTAL CHARGE included (please add all options and shipping):

Return shipping info : Name :
Address :
Address :
City : State :     Zip:
Telephone(s):
Country: Email:

Please print the above now (on just one page if possible, BE GREEN!) and include a copy with your pedal, after filling out the form boxes. Internet Explorer works best. The PRINT button may not work with older browsers, then select File Print or press CONTROL-P in your browser. See below for shipping and payment information.

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SHIPPING:

Please send a money order (postal or bank money order) for the total above, made out to "Míke Píera". Or if it's easier, just put $US cash in the battery compartment, it will be OK. (Cash is cool and convenient, I hate waiting in line at the bank!). No checks, please, as I don't want to hold your pedal until a check clears, but Bank of America or Wells Fargo checks are OK. Please send the pedal and payment to :

Míke Píera
Analog Man
1 Garella Rd Unit D
Bethel, CT 06801

Use this ad dress for fastest service. You can send it by US Priority mail, they can even provide a folding box you can use. Don't use the little VCR tape box, but a larger type. Put in lots of balled up newspaper or bubble wrap all around the pedal. UPS or FEDEX are fine too. From overseas please use air mail, not UPS or FEDEX or others to avoid making us pay ridiculous customs and brokerage fees.
*** We will REFUSE any package that comes in from out of the USA by UPS, FEDEX, DHL etc!!! We'll complete your work within a few days (normally 2-3 days) and email when we ship it back. .

Regards, mike ~^v^~ aNaLoG.MaN ~^v^~ vintage guitar effects

http://www.analogman.com