Warranty return form – Advanced Global Technology AGT HD Pulse HDT200 User Manual
Page 34
Warranty Return Form
33
Cut Along the Dotted Line
Personal Information
Full Name:
______________________________________________________
Address:
______________________________________________________
______________________________________________________
Home Phone:
(____)______________ Alternate Phone: (____)______________
Email Address: ______________________________________________________
Product Information
Model Number ____________________
Serial Number ___________________
Date of Purchase __________________
Where Purchased ________________
Brief Description for why Product is being Returned:_________________________
___________________________________________________________________
___________________________________________________________________
Last
First
M.I.
Street Address
Apartment/Unit #
City
State
Zip Code