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IQ P.I.P.–SMT
Crown Factory Service Information
Shipping Address: Crown International, Inc., Factory Service,
Plant 2 SW, 1718 W. Mishawaka Rd., Elkhart, IN U.S.A. 46517
Phone: 1-800-342-6939 or 1-219-294-8200 Fax: 1-219-294-8124
Owner’s Name: __________________________________________________________
Shipping Address: ______________________________________________________
Phone Number: ________________________
Fax Number: ____________________
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 your system: __________________________________________
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If warranty has expired, payment will be:
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Cash/Check
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VISA
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MasterCard
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C.O.D.
Card Number:___________________________
Exp. Date: __________
Signature:____________________________
ENCLOSE THIS PORTION WITH THE UNIT.
DO NOT MAIL SEPARATELY.
Detach and send with unit.