Q4 audio DPI 30 - Service Request Form

DPI SERIES USER MANUAL
14
Service request form
Send this service request form together with the unit (do not send separately!) to your authorised
Q4audio dealer, or to following address:
Summit Engineering NV
Q4audio division
Tongersesteenweg 190
3800 Sint-Truiden Belgium
Tel: +32 (0)11 69 42 59
Fax: +32 (0)11 69 45 92
Email: service@Q4audio.com
Attempts to solve the problem
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Problem description Be sure to explain the circumstances under which the problem occurred!
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Product information
Product:: ...........................................................................................................................................
Serial number: ..................................................................................................................................
Purchased from: ...............................................................................................................................
Purchase date: ..................................................................................................................................
Owner information
Name/Company: ..............................................................................................................................
Shipping addess: .............................................................................................................................
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Country: ...........................................................................................................................................
Tel: ....................................................................................................................................................
Fax: ...................................................................................................................................................