Operation Manual; Crown Audio Factory Service Information; DBC Network Bridge - Page 83

DBC Network Bridge 

Operation Manual

page 83

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

            Credit card information: 

   
             Type of credit card:     

MasterCard                    

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: __________________________________________________________________________

                                                           __________________________________________________________________________

                                                           __________________________________________________________________________

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

Crown Audio Factory Service Information