WARRANTY REPAIR / REPLACEMENT FORM
PLEASE COMPLETE THE FOLLOWING;
PLEASE NOTE: P. O. BOXES ARE NOT ACCEPTABLE
NAME:STREET ADDRESS:CITY: |
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DAY TIME PHONE NUMBER: |
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LABOR, S/H CHARGE | $ |
| 19.95 |
| (FOR PRODUCT MORE THAN 90 DAYS, BUT LESS | ||||
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| THAN 365 DAYS FROM RETAIL PURCHASE) | ||
LOCAL SALES TAX | $ |
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TOTAL PAYMENT | $ |
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CHECK OR MONEY ORDER ENCLOSED
CREDIT CARD | ACCOUNT NUMBER | EXP. DATE |
VISA
MASTERCARD
DISCOVER
CARD HOLDER NAME | CARD HOLDER SIGNATURE |
(IF DIFFERENT FROM ABOVE) |
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REASON FOR RETURN
BE SURE TO ENCLOSE COMPLETED FORM, A COPY OF YOUR BILL OF SALE, PAYMENT (IF APPLI- CABLE), SUPPLIED ACCESSORIES, TOGETHER WITH THE PRODUCT AND RETURN TO THE JVC REPAIR/REPLACEMENT FACILITY NEAREST YOU.
TO OBTAIN THE ADDRESS OF THE LOCATION NEAREST YOU <PLEASE CALL (800)
(0103) | PRINTED IN CHINA |