Warranty repair / replacement form – JVC RC-EX20S User Manual
Page 44

PLEASE COMPLETE THE FOLLOWING;
PLEASE NOTE: P. O. BOXES ARE NOT ACCEPTABLE
WARRANTY REPAIR / REPLACEMENT FORM
NAME:
DAY TIME PHONE NUMBER:
ZIPCODE
STATE
CITY:
STREET ADDRESS:
CARD HOLDER NAME
(IF DIFFERENT FROM ABOVE)
LABOR, S/H CHARGE
$ 19.95
LOCAL SALES TAX
$
TOTAL PAYMENT
$
(FOR PRODUCT MORE THAN 90 DAYS, BUT LESS
THAN 365 DAYS FROM RETAIL PURCHASE)
METHOD OF PAYMENT
CHECK OR MONEY ORDER ENCLOSED
REASON FOR RETURN
BE SURE TO ENCLOSE COMPLETED FORM, A COPY OF YOUR BILL OF SALE, PAYMENT (IF APPLI-
CABLE), SUPPLIED ACCESSORIES, TOGETHER WITH THE PRODUCT AND RETURN TO THE JVC
REPAIR/REPLACEMENT FACILITY NEAREST YOU.
TO OBTAIN THE ADDRESS OF THE LOCATION NEAREST YOU
CARD HOLDER SIGNATURE
BT-51025-2
(0103)
PRINTED IN CHINA
CREDIT CARD
VISA
MASTERCARD
DISCOVER
ACCOUNT NUMBER
EXP. DATE
04_WARRANTY_RC-EX20SAB_J.p65
04.4.21, 2:46 PM
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