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Warning! JavaScript must be enabled for this form to work properly.
Required *
Your name
Not required
Your Email
So we can send your 40% refund and confirm your spot on the wall.
Machine make & model
Placeholder: e.g. Victor 1280-7
Years in service
Placeholder: e.g. 30
Company / firm
Shown on the wall only if you fill it in — leave blank to stay anonymous.
Photo of your machine
A quick snapshot is perfect. JPG or PNG, up to 8MB. (Allowed: jpg, jpeg, png)
PayPal transaction ID or purchase email
Helps us match your purchase so the refund is quick.
(consent)
I'm happy for my photo (and company, if given) to appear on the public Wall of Retired Machines.