Repair Service Customer Information Sheet

**Please fill, print and send this completed form with your part**
Click Here for Printable Format

Mailing Address:

German Audio Tech
Attn: Repair Dept.
65 Pine Ave. #337
Long Beach, CA 90802
 

Hello, my information is as follows:

Name:

 

Address:

 

Email

 

Telephone Number:

 

Service Purchase Date:

 

 

eBay Information (If Applicable)

eBay User ID:

 

 

Symptoms are as follows:

 

 

Special Notes:

 

 THANK YOU!

www.GermanAudioTech.com
http://stores.ebay.com/German-Audio-Tech