Shipping Form
Please print out this form and fill in all applicable fields. Thanks!
Name:__________________________________________________Address:_______________________________________________
City,State,Zip:________________________________________
Phone:___________________Work Phone:___________________
Email Address:______________________
Unit Information
Make of Unit:__________________________________________Model #________________________________________________
Serial #_______________________________________________
Date of Purchase (only if your unit is still in warranty):
_____________Included Accessories:__________________________________
Be sure to include a copy of your receipt for warranty units.
Description of Problem (Please be as specific as possible):
______________________________________________________________________________________________________________
_______________________________________________________
_______________________________________________________
Ship To:
Diversified Audio Inc.
14919 N. Nebraska Ave.
Tampa, Fl 33613
Phone (813)-979-9087
Fax (813)-631-0719Thank you for your business!