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Equipment
Repair Shipping Form
Please print out this form and fill in all applicable fields.
Thanks!
- Name:_____________________________________________________________
- Organization:_______________________________________________________
- Address:__________________________________________________________
- City,
State,
Zip:_____________________________________ญญญญ____________
- Daytime
Phone:(_____) _______-____________
- Evening
Phone:(_____) _______-____________
- Email
Address:_________________________________________
-
- Unit
Information
- Brand
of Unit:____________________________________________________
- Model
#__________________________________________________________
- Serial
#_________________________________________________________
- Date
of Purchase (only if your unit is still in warranty):
- ____/____/_____
- Included
Accessories:____________________________________________
- Description
of Problem (Please be as specific as possible):
- _________________________________________________________________
- _________________________________________________________________
- _________________________________________________________________
- _________________________________________________________________
- _________________________________________________________________
- _________________________________________________________________
- _________________________________________________________________
- _________________________________________________________________
- Ship
To:
- Benson Sound, Inc.
- 3900 East I-240 Access Rd.
- Oklahoma City, OK 73135-1722
- (405) 670-4461 office
- Be sure to pack the equipment
adequately and INSURE the contents.
- Include a copy of this sheet with your
equipment.
- Thank
you for your business!
- Use
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