Amplifier Repair
Please fill out this form and include it in the box with your return.
Return Form
| RMA Number for Amplifier Repair: |
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| Name: |
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| Address 1: |
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| Address 2: |
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| City, State and Zip Code: |
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| Phone: |
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| Email: |
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| Amplifier Model: |
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| Serial Number: |
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| Date Code (4 Digits on Left Side of Label): |
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| Describe the Problem or
Service Required: |
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| Tuned Frequency: |
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| Desired Gain:(ex. watts in for watts out) |
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| Amplifier Model: |
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| Serial Number: |
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| Date Code (4 Digits on Left Side of Label): |
|
| Describe the Problem or
Service Required: |
|
| Tuned Frequency: |
|
| Desired Gain:(ex. watts in for watts out) |
|
Please send to:
Henry Radio Amplifiers
22824 Mariposa Ave.
Torrance CA 90502
