Crown Macro-Tech MA-3600VZ Operation Manual page 27

Crown audio operation manual power amplifier ma-3600vz macro-tech series
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Macro-Tech MA-3600VZ Power Amplifier
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 for the information when your unit is repaired).
Credit card information:
Type of credit card:
Master Card
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
Crown Factory Service Information
Shipping Address: Crown Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
PLEASE PRINT CLEARLY
Model: _________________________________
PRODUCT RETURN INFORMATION
Fax #: ________________________________________
State/Prov: ________________________________
PAYMENT OPTIONS
Visa
American Express
Business/Corporate
Serial Number: _____________________
Email: ____________________________________________________
Postal Code: _________________
COD
Discover
Purchase Date: ________________
Country: _____________________
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