Crown XTI 4002 User Manual

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

SRA #: ______________________ (If sending product to Crown factory service.)

Model: ______________________ Serial Number:  _________________________   Purchase Date: ____________________

Individual or Business Name:  ___________________________________________________________________________________________________

Phone #:  ____________________________  Fax #:__________________________________  E-Mail:________________________________________

Street Address (please, no P.O. Boxes):  ____________________________________________________________________________________________

City:  ___________________________  State/Prov:_______________  Postal Code: ________________  Country:________________________________

Nature of problem:  __________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

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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#: _____________________________   

 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:    ______________________________

  

 

______________________________

  

 

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