WARRANTY REPAIR / REPLACEMENT FORM

PLEASE COMPLETE THE FOLLOWING;

PLEASE NOTE: P. O. BOXES ARE NOT ACCEPTABLE

NAME:

STREET ADDRESS:

CITY:

 

 

 

 

STATE

 

 

ZIPCODE

 

DAY TIME PHONE NUMBER:

 

 

 

 

 

 

LABOR, S/H CHARGE

$

 

19.95

 

(FOR PRODUCT MORE THAN 90 DAYS, BUT LESS

 

 

 

 

 

 

 

THAN 365 DAYS FROM RETAIL PURCHASE)

LOCAL SALES TAX

$

 

 

 

 

 

 

 

TOTAL PAYMENT

$

 

 

 

 

 

 

 

METHOD OF PAYMENT

CHECK OR MONEY ORDER ENCLOSED

CREDIT CARD

ACCOUNT NUMBER

EXP. DATE

VISA

MASTERCARD

DISCOVER

CARD HOLDER NAME

CARD HOLDER SIGNATURE

(IF DIFFERENT FROM ABOVE)

 

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) 252-5722 OR VISIT OUR WEBSITE AT HTTP://WWW.JVC.COM

BT-51025-2

(0103)

PRINTED IN CHINA

Page 27
Image 27
JVC RC-EX30B manual Warranty Repair / Replacement Form