Crown I-Tech I-T4000, Operation Manual

Page: 49 / 52

I-Tech Series Power Amplifiers
Operation Manual page 49
PLEASE PRINT CLEARLY
SRA #: __________________(If sending product to Crown factory service.) Model: ____________________________________________ Serial Number: _____________________ Purchase Date: _____________
PRODUCT RETURN INFORMATION
Individual or Business Name: ____________________________________________________________________________________________________________________________________________________________
Phone #: __________________________________________________ Fax #: ________________________________________ E-Mail: _______________________________________________________
Street Address (please, no P.O. Boxes): _____________________________________________________________________________________________________________________________________________________
City: __________________________________________ State/Prov: ________________________________ Postal Code: _________________ Country: _________________________
Nature of problem: ___________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________________________________________________________
Other equipment in your system: _________________________________________________________________________________________________________________________________________________________
If warranty is expired, please provide method of payment. Proof of purchase may be required to validate warranty.
PAYMENT OPTIONS
I have open account payment terms. Purchase order required. PO#: __________________________________ COD
Credit Card (Information below is required; however if you do not want to provide this information at this time, we will contact you when your unit is repaired for the information.)
Credit card information:
Type of credit card:
MasterCard Visa American Express Discover
Type of credit card account: Personal/Consumer Business/Corporate
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: __________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Shipping Address: Crown Audio Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
Crown Audio Factory Service Information