CT Power Amplifiers
Crown Audio Factory Service Information
Shipping Address: Crown Audio 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: _____________
PRODUCT RETURN INFORMATION
Individual or Business Name: ____________________________________________________________________________________________________________________________________________________________
Phone #: __________________________________________________ Fax #: ________________________________________ E-Mail: _______________________________________________________
Street Address (please, no P.O. Boxes): _____________________________________________________________________________________________________________________________________________________
City: __________________________________________State/Prov: ________________________________Postal Code: _________________ Country: _________________________
Nature of problem: ___________________________________________________________________________________________________________________________________________________________________
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Other equipment in your system: _________________________________________________________________________________________________________________________________________________________
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 when your unit is repaired for the information.)
Credit card information:
Type of credit card:
Type of credit card account:
MasterCard
Personal/Consumer
Visa
Business/Corporate
American Express
Discover
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: | ____________________________________________________________________________ |
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Billing address of credit card: __________________________________________________________________________ |
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Operation Manual | __________________________________________________________________________ | page 27 |
