Technical information

Detach and send with unit.
Crown Factory Service Information
Shipping Address: Crown Factory Service, 1718 W. Mishawaka Rd., Elkhart, IN 46517
Phone: [phone] or 1-574-294-8200 Fax: [phone]
Owner’s Name: _________________________________________________________________________
Shipping Address: ______________________________________________________________________
Phone Number: ______________________________ Fax Number: _____________________________
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 your system:__________________________________________________________
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If warranty has expired, payment will be:  Cash/Check  VISA  MasterCard  C.O.D.
Card Number:___________________________ Exp. Date:_______
Signature:____________________________
ENCLOSE THIS PORTION WITH THE UNIT. DO NOT MAIL SEPARATELY.