MAKE  __________________ MODEL _______________
   SERIAL NUMBER  ____________________________
ENCLOSED ACCESSORIES  ________________________
DATE OF PURCHASE ____________
RECEIPT ATTACHED_______ (must be yes for warranty)
REMOTE MUST BE ENCLOSED_____ (check yes)

   CUSTOMER INFORMATION
PLACE OF PURCHASE  __________________________
NAME   _______________________________________
ADDRESS_______________________________________
CITY________________________ STATE____________ ZIP________
PHONE (WORK)________________ PHONE (HOME)_________________

What you see or hear wrong (not what you think is the problem)
___________________________________________________________
___________________________________________________________
___________________________________________________________

___NO WARRANTY 
___WARRANTY  CUSTOMER UNIT   
___WARRANTY  NEVER WORKED or DIED DURING INSTALL
___WARRANTY  EXCHANGE STOCK   WORKED FOR ____ DAYS 
___WARRANTY  DISPLAY  STOCK   WORKED FOR ____ DAYS

   REQUEST
___REPAIR AND RETURN UNDER WARRANTY
___REPAIR AND RETURN IF LESS THAN    $______
___CALL ESTIMATE ($39.00 + freight) 
___RUSH/START ON IMMEDIATELY ($20.00 fee)
___REPEAT REPAIR, PRIOR TICKET NUMBER _______
___OTHER_________________________________________________

   SERVICER  
___MANUFACTURER   _____________________________
___PYRAMID AUDIO 305 EAST BRAKER AUSTIN, TEXAS 78753
   512-458-8292  VOICE 512-453-4542  FAX
___OTHER _______________________ SHIPPED OUT DATE _______ CARRIER _______ 
SRA NUMBER  _____________        CUSTOMER OK TO SHIP_______