Repair Form
AUDIO ENHANCEMENT
Ship Equipment to: |
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Attn: Repairs |
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14241 S. Redwood Rd | Please call for RMA# before returning | |
PO Box 2000 | ||
product(s) | ||
Bluffdale, UT 84065 | ||
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RMA#____________ | Repair Form | |
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Name:_______________________________________________
School/Company:______________________________________
Shipping Address:______________________________________
Attn:_________________________________________________
City/State/Zip:_________________________________________
Telephone: (____)______________________
Model #/Items | Serial # & Channel # | Reason for Return |
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Billing Address:________________________________________
Attn:_________________________________________________
City/State/Zip:_________________________________________
Telephone: (____)______________________
Date Purchased:_______________ Invoice #_______________
*Please attach a copy of the invoice for proof of warranty. If out of warranty, Purchase Order Number must be provided.
Is system under a purchased extended warranty/contract?
Yes 
No
Purchase Order #:____________________________________________
Credit Card # (Visa/MasterCard/Discover/American Express):
__________________________________________________________
Expiration Date:__________________ Name on Card________________
Address for Card:_________________________________________
Authorized Signature:_________________________________________
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