Owner’s name, Shipping address, Purchase date – Crown Audio D-75A User Manual

Page 21: Nature of problem, Other equipment in system, Signature, Crown factory service information

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D Series Power Amplifiers

page 21

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.

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