Owner’s name, Shipping address, Purchase date – Crown 1201 User Manual
Page 27: Nature of problem, Other equipment in system, Signature, Crown factory service information
Micro-Tech Series Power Amplifiers
page 27
Operation Manual
Crown Factory Service Information
Shipping Address: Crown Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
Phone: 1-800-342-6939 or 1-574-294-8200 Fax: 1-574-294-8124
Owner’s Name : __________________________________________________________________________________________________________________________________________________________________
Shipping Address: ________________________________________________________________________________________________________________________________________________________________
Phone Number: ________________________________Fax Number: ________________________________ Email __________________________________________________________________________________
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 system: ________________________________________________________________________________________________________________________________________________________
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If warranty has expired, payment will be:
! Cash/Check ! Visa ! Master Card ! C.O.D. ! Purchase Order for Crown Dealer
Card Number:___________________________________ Exp. Date:___________________
Signature:______________________________________________________________________
ENCLOSE THIS PORTION WITH THE UNIT. DO NOT MAIL SEPARATELY.