Repair Service Customer Information Sheet

**Please print and send this completed form with your part**

Mailing Address:

German Audio Tech

Attn: Repair Dept.

65 Pine Ave. #337

Long Beach, CA 90802

 

Hello , my information is as follows:

Name_______________________________________________________________________________________

Address ____________________________________________________________________________________

                __________________________________________________________________________________

Telephone Number (________)________________-__________________________________________________

Service Purchase Date ________________________________________________________________________

 

eBay Information (If Applicable)

eBay ID: _____________________________________________________________________________________

eBay Repair Listing Item #:_______________________________________________________________________

 

Symptoms are as follows:________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

 

Special Notes:_________________________________________________________________________________

_____________________________________________________________________________________________

THANK YOU!

 

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

  • Visa
  • MasterCard
  • Amex
  • PayPal