Detach and send with unit.
Crown Factory Service Information
Shipping Address: Crown International, Inc., Factory Service, 57620 C.R. 105, Elkhart, Indiana 46517
Phone:
Owner’s Name: _________________________________________________________________________
Shipping Address: ______________________________________________________________________
Phone 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.)
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Other equipment in your system: _________________________________________________________
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If warranty has expired, payment will be: | ■ Cash/Check ■ VISA ■ MasterCard | ■ C.O.D. |
Card Number:___________________________ | Exp. Date:_______ |
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Signature:_____________________________ |
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ENCLOSE THIS PORTION WITH THE UNIT. DO NOT MAIL SEPARATELY.