Technical information

Detach and send with unit.
Crown Factory Service Information
Shipping Address: Crown International, Inc., Factory Service, Plant 2 SW, 1718 W. Mishawaka Rd., Elkhart, IN 46517
Phone: [phone] or 1-219-294-8200 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.)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other equipment in your system:_________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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.