E-Audio Benelux | Nederland Tel.: +31 (0)55 5994545 Fax: +31 (0)55 5994546 | België & Luxembourgh Tel.: +32 (0)2 4797975 Fax: +32 (0)2 4797972

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Electronica service form
(*) All fields are required
1. Complete the form
2. Print the form and include it in the equipment shipment
3. Submit the form
4. Send the equipment shipment to E-Audio Benelux,
Ketelboetershoek 5-9, 7328 JE Apeldoorn, The Netherlands

Attach the printed label (document) always good visable at the outside of the carton. Cartons (shipments) without this printed document (label) visable at the outside of the carton are not accepted and send back.
Serial number woofer : (positioned at the backside of the magnet) Please fill in your personal details in the form below. Your request will be processed as soon as all information is correct and submitted.

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E-Audio Benelux
TAV. Service Centre.
Ketelboetershoek 5-9
7328 JE Apeldoorn Netherlands

Company name (*)
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Account number (*)
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E-mail (*)
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Address (*)
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Postal code (*)
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City (*)
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Phone (*)
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Country (*)
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Type of equipment (*)
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Serial number (*)
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Brand (*)
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(*) Do you consider this repair to be a warranty claim? (If yes then a copy of the invoice is required)
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Complaint description
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Submit and print the form
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