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CDi Series Power Amplifiers
SRA #: __________________(If sending product to Crown factory service.)
Individual or Business Name:
___________________________________________________________________________________________________________________________________________________________________________
Phone #: __________________________________________________
Street Address (please, no P.O. Boxes):
___________________________________________________________________________________________________________________________________________________________________________
City: __________________________________________
Nature of problem:
___________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________________
Other equipment in your system:
___________________________________________________________________________________________________________________________________________________________________________
If warranty is expired, pleae provide method of payment. Proof of purchase may be required to validate warranty.
I have open account payment terms. Purchase order required. PO#____________________________________________________
Credit Card (Information below is required; however if you do not want to provide this information at this time, we will contact you for the information when your unit is repaired).
Credit card information:
Type of credit card:
Master Card
Type of credit card account:
Personal/Consumer
Card # ______________________________________________ Exp. date: _____________ * Card ID #: __________________________
* Card ID # is located on the back of the card following the credit card #, in the signature area. On American Express, it may be located on the front of the card. This number is required to process the charge to your account. If you do not want
to provide it at this time, we will call you to obtain this number when the repair of your unit is complete.
Name on credit card:
____________________________________________________________________________
Billing address of credit card: __________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Operation Manual
Mode d'emploi
Amplificateurs de puissance
Crown Factory Service Information
Shipping Address: Crown Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
Model: _________________________________
Fax #: ________________________________________
State/Prov: ________________________________
Visa
American Express
Business/Corporate
Bedienungsanleitung
Leistungsendstufen
Amplificadores de potencia
PLEASE PRINT CLEARLY
PRODUCT RETURN INFORMATION
PAYMENT OPTIONS
Discover
Manual de Operación
Serial Number: _____________________
E-Mail: _________________________________________________
Postal Code: _________________
COD
Purchase Date: ________________
Country: _____________________
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