Unitron N Moxi Dura Pro - Page 3

Your hearing aids
Hearing healthcare professional: ___________________
________________________________________________
Telephone: ______________________________________
Model: _________________________________________
Serial number: ___________________________________
Replacement batteries:
Size 13 Size 312 Size 10A
Warranty: _______________________________________
Program 1 is for: _________________________________
Program 2 is for: _________________________________
Program 3 is for: _________________________________
Program 4 is for: _________________________________
Date of purchase: ________________________________