Crown Audio IQ-INT3 - Manual (Page 16)

Crown Factory Service Information
Shipping Address: Crown Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 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: _________________________________________________________________________
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 system: _____________________________________________________________
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IF WARRANTY HAS EXPIRED, PAYMENT WILL BE:
❏ ❏ ❏ ❏ ❏ Cash/Check ❏ ❏ ❏ ❏ ❏ VISA ❏ ❏ ❏ ❏ ❏ MasterCard ❏ ❏ ❏ ❏ ❏ C.O.D. ❏ ❏ ❏ ❏ ❏ Purchase Order for Crown Dealer
Card Number: _______________________________ Exp. Date: ______________________________
Signature: _____________________________________________________________________________
ENCLOSE THIS PORTION WITH THE UNIT. DO NOT MAIL SEPARATELY.