MA 2402 Power Amplifier
Crown Factory Service Information
Shipping Address: Crown Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
PLEASE PRINT CLEARLY
SRA #: __________________(If sending product to Crown factory service.) | Model: _________________________________ | Serial Number: _____________________ Purchase Date: ________________ |
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Individual or Business Name:
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Phone #: __________________________________________________ Fax #: ________________________________________ Email: ____________________________________________________
Street Address (please, no P.O. Boxes):
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City: __________________________________________State/Prov: ________________________________Postal Code: _________________ Country: _____________________
Nature of problem:
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Other equipment in your system:
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If warranty is expired, please provide method of payment. Proof of purchase may be required to validate warranty.
PAYMENT OPTIONS
I have open account payment terms. Purchase order required. PO#____________________________________________________ | COD |
Credit Card (Information below is required; however if you do not want to provide this information at this time, we will contact you for the information when your unit is repaired).
Credit card information: |
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Type of credit card: | Master Card | Visa | American Express | Discover | |
Type of credit card account: | Personal/Consumer | Business/Corporate |
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Card # ______________________________________________ Exp. date: _____________ | * Card ID #: __________________________ | ||||
*Card ID # is located on the back of the card following the credit card #, in the signature area. On American Express, it may be located on the front of the card. This number is required to process the charge to your account. If you do not want to provide it at this time, we will call you to obtain this number when the repair of your unit is complete.
Name on credit card: ____________________________________________________________________________
Billing address of credit card: __________________________________________________________________________
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Operation Manual | page 33 |