Factory Service Information Form; Formulaire D'informations Sur L'entretien En Usine; Reparatureinsendeformular; Formulario De Información De Servicio De La Fábrica - Harman Crown Macro-Tech i Série Mode D'emploi

Table des Matières

MA-i 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, please 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 when your unit is repaired for the information.)

Credit card information:

Type of credit card:

MasterCard

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

Leistungsendstufen

Crown Audio Factory Service Information

Shipping Address: Crown Audio Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517

Model: ____________________________________________