Specifications

Crown Factory Service Information
Shipping Address: Crown Factory Service,
1718 W. Mishawaka Rd., Elkhart, IN U.S.A. 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.  P.O. from Dealer
Card Number:____________________________________________________
Exp. Date: ___________ Signature:_________________________________
ENCLOSE THIS PORTION WITH THE UNIT. DO NOT MAIL SEPARATELY.