Crown Audio ScreenArray PIPS:4622, 3632, 4632 - Manual (Page 19)

Crown Factory Service Information
Shipping Address: Crown Factory Service,
1718 W. Mishawaka Rd., Elkhart, IN U.S.A. 46517
Phone: 1-800-342-6939 or 1-574-294-8200 Fax: 1-574-294-8124
Owner’s Name: _________________________________________________
Shipping Address: ______________________________________________
Phone Number: ________________ Fax Number: ____________________
Email: __________________
Model: ____________ Serial Number: _____________________________
Purchase Date: ________________________
RA Number: __________________
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 your system:
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If warranty has expired, payment will be:
o Cash/Check o VISA o MasterCard o C.O.D.
o P.O. for Crown Dealer
Card Number:___________________________
Exp. Date: ______________________________
Signature:______________________________
ENCLOSE THIS PORTION WITH THE UNIT.
DO NOT MAIL SEPARATELY.