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XTi Series Power Amplifiers
Operation Manual Mode d'emploi page 43
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Crown Audio Factory Service Information
Shipping Address: Crown Audio Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
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, pleae 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 for the information when your unit is repaired).
Credit card information:
Type of credit card: Master Card 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: __________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________