Detach and send with unit.
Crown Factory Service Information
Shipping Address: Crown International, Inc., Factory Service, Plant 2 SW, 1718 W. Mishawaka Rd., Elkhart, IN 46517
Phone:
Owner’s Name: _________________________________________________________________________
Shipping Address: ______________________________________________________________________
Phone Number: _____________________________ Fax Number: _____________________________
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.)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other equipment in your system: _________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
If warranty has expired, payment will be: | Cash/Check❏ | ❏ VISA ❏ MasterCard ❏ C.O.D. |
Card Number:___________________________ | Exp. Date:_______ Signature:____________________________ | |
ENCLOSE THIS PORTION WITH THE UNIT. DO NOT MAIL SEPARATELY.
