Crown Factory Service Information
Shipping Address: Crown Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
Phone:
Owner’s Name : __________________________________________________________________________________________________________________________________________________________________
Shipping Address: ________________________________________________________________________________________________________________________________________________________________
Phone Number: ________________________________Fax Number: ________________________________ Email __________________________________________________________________________________
Model: __________________________________________________________________________________ Serial Number: __________________________________________________________________________
Purchase Date : _________________________________________________________________________________________________________________________________________________________________
NATURE OF PROBLEM
(Be sure to describe the conditions that existed when the problem occurred and what attempts were made to correct it.)
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Other equipment in system: ________________________________________________________________________________________________________________________________________________________
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If warranty has expired, payment will be: ! Cash/Check | ! Visa | ! Master Card | ! C.O.D. | ! Purchase Order for Crown Dealer |
Card Number:___________________________________ Exp. Date:___________________ | ||||
Signature:______________________________________________________________________ | ||||
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| ENCLOSE THIS PORTION WITH THE UNIT. DO NOT MAIL SEPARATELY. | ||
Operation Manual |
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| page 27 |