Repair Fair Registration 
We are excited to welcome you to the upcoming Repair Fair!  
Please answer the following questions with as much detail as possible so we can be prepared to help fix your broken item.  

Collecting this data also helps us demonstrate the positive impact of the Repair Fairs so we can continue to host them.  Find out about upcoming events at www.reusealliance.org/events

*We cannot guarantee your item(s) will be repaired, depending on the existing damage or breakage, ability of volunteer fixers, and availability of materials for repair.

Para registro en español: Aqui
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Which Repair Fair are you attending? *
What are you bringing?
 *
Make or Brand 
(ie. Who's the Manufacturer?)
Model number 
(Look underneath or on the back)
When was it manufactured?
What's wrong with it?
Provide as much detail as you can as to how it's acting up. Did the symptoms manifest gradually or was there "an event"? Can you reproduce the symptoms reliably or is it intermittent?
What have you tried to fix it?
 e.g. have you done any web research to see if someone's had a similar problem?  
What does the item weigh? 
If possible, please provide the weight of the item.  This helps us track waste stream diversion impact
Can we contact you? *
No promises, but someone might contact you for more information to have a better chance of fixing your item.
Liability Waiver *

In consideration for being allowed to participate in the event I hereby waive, release and forever discharge Zero Waste Sonoma, Reuse Alliance, WeAct, a division of Waste Less Alliance, their employees, agents and volunteers, and any others acting on their behalf, from any and all responsibilities or liability from damages or injuries of any kind to my property, anyone else's property, or to me or any other person, in my party or otherwise, as a result of my participation in this event. I hereby grant Zero Waste Sonoma and Reuse Alliance and their agents the absolute and irrevocable right and unrestricted permission to use photographs and video taken at the event.

First Name *
Last Name *
Email Address *
Location (Zipcode) *
How did you hear about the Repair Fair? *
Would you like to receive the Reuse Alliance newsletter? *
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