audio services


Shipping Form

Company Name (if applicable):

Contact Name:

Shipping Address (NO PO BOXES):

City/State/ZIP Code:

Home Phone#:

Work or Cell#:

Email Address:

Fax Number:

Unit's Brand:   

Model Number:

Serial Number:

Is this unit under warranty? (if yes, remember proof of purchase.)

RA# (only applies to Behringer warranty units)

Insurance/Replacement Value:

What problem(s) are you having with this unit?

Is this problem intermittant?
If yes, please explain:

Note any error messages or unusual display indications:

List accessories you are sending with your unit:

When you have finished filling this out, please print it and include it with your unit.
Return to shipping index page.

Audio Services ( email )
544 Central Drive, Suite 101
Virginia Beach, VA 23454

2005 All Rights Reserved

br> 757-498-8277

2005 All Rights Reserved