Crown Factory Service Information Form - Crown Micro-Tech 1200 Operation Manual

Micro-tech series
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Micro-Tech Series Power Amplifiers
Owner's Name : __________________________________________________________________________________________________________________________________________________________________
Shipping Address: ________________________________________________________________________________________________________________________________________________________________
Phone Number: ________________________________Fax Number: ________________________________ Email __________________________________________________________________________________
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 system: ________________________________________________________________________________________________________________________________________________________
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If warranty has expired, payment will be: ! Cash/Check
Card Number:___________________________________
Signature:______________________________________________________________________
Operation Manual
Crown Factory Service Information
Shipping Address: Crown Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
Phone: 1-800-342-6939 or 1-574-294-8200 Fax: 1-574-294-8124
! Visa
! Master Card
! C.O.D.
Exp. Date:___________________
ENCLOSE THIS PORTION WITH THE UNIT. DO NOT MAIL SEPARATELY.
! Purchase Order for Crown Dealer
page 27

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