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.) YES NO RA# (only applies to Behringer warranty units) Insurance/Replacement Value:
What problem(s) are you having with this unit? Is this problem intermittant? YES NO 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 757-498-8277
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