Your Element
Hearing Healthcare Professional: __________________________
_____________________________________________________
Telephone: ____________________________________________
Model: _______________________________________________
Serial Number:_________________________________________
Replacement Batteries:
Warranty: _____________________________________________
Use Automatic Program for (if applicable)
1: Quiet
2: Group/Party Noise
Use Manual Program 1 for: ______________________________
Use Manual Program 2 for: ______________________________
Use Manual Program 3 for: ______________________________
Date of Purchase: ______________________________________
Hearing Instruments
™
Size 13
Size 10
1