Application
Form
OPTIONAT 2
YEAR
\ryARRANTY
PLAN
Complete
application
form
and
forward it, together
with
your
payment,
to:
AIGI
Pty Limited, Customer Service
Dept.
P0 Box
11. Homebush. NSW 2140.
Cheques must be
made
payable
to
AKAI fty
Limited.
AKAI
Pty Ltd Australia ACN 001 500 ?14
IMPORTAITII
Application
and
payment
must be
forwarded within 21 days of
purchase
date. The
express 0ptional
2 Year Warranty shall
commence
the day after expiry
of the 1
year
express
written
warranty
provided
by AKAI in the original
purchase price
for the
product.
TICK APPROPRIATE BO)GVPRINT
CLEARLY
EEtrE
SURNAME
RESIDEMIAL ADDBESS
INnIALS
NE
STREET NAME
SIDIJRB
CITY/IOWN
CONTACT
PHONE NIJMBERS
STATE
SELLING
DEAIER'S NAME
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DEAI,ER'S
ADDRESS
PBODUCT
CODE
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I
2
3
COLOUR TV EECEIVER
48CM AND ABOW
COLOT]'R TV RECEN'ER UNDER
48CM
APPLICATION
FEE
$50
$40
$40
DATE OF PURCHASE
DAY MONTH YEAR
BANKCARDA,IASTERCARD/AMEX
NUMBER
IYPE OF PRODUCT
I I VIDEO CASSETTE RECORDER
MODEL NT]MBER
SERIAL
NUMBER
PIEASE TICK
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I ENCLOSE PAYMENT. AMOUNT $
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BANK0AnD
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APPLICANTS
SIGNATURE
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