SRA Form for
ADAMHALL
Brand *
ADAMHALL
CHECKLIST
PLEASE DO NOT INCLUDE ACCESSORIES
(remote, power cord, mic, etc.)
PREFERRED CARRIERS
FEDEX or UPS
In Warranty?
In Warranty
Out of Warranty
Please select warranty status.
Model *
--Select a Model--
EBS-CL500
EBS-FAFNER
EBS-FAFNER II
EBS-HD360LTD
EBS-MA115 II
EBS-MA210 II
EBS-N210
EBS-RD500
EBS-RD502
EBS-RD750
EBS-RD752
EBS-S120
EBS-S30 III
EBS-S60
EBS-TD600
EBS-TD650
LDS-CURV500ES
LDS-CURV500IAMP
LDS-CURV500ISUB
LDS-CURV500ISUBW
LDS-CURV500PES
LDS-CURV500TS
LDS-DAVE10G4X
LDS-DAVE12G4X
LDS-DAVE15G4X
LDS-DAVE18G4X
LDS-DAVE8ROADIE
LDS-EB102AG3
LDS-EB102G3
LDS-EB122AG3
LDS-EB122G3
LDS-EB152AG3
LDS-EB152G3
LDS-EB282AG3
LDS-EB282G3
LDS-EB82AG3
LDS-ESUB15AG3
LDS-ESUB15G3
LDS-ESUB18AG3
LDS-ESUB18G3
LDS-ICOA SUB18A
LDS-ICOA12A
LDS-ICOA12ABT
LDS-ICOA15A
LDS-ICOA15ABT
LDS-ICOASUB15A
LDS-LD MAUI28MIX
LDS-LD MAUI28MIX SUB
LDS-LDGTSUB18A
LDS-MAUI11G2
LDSMAUI11G2SUB
LDS-MAUI11G2W
LDS-MAUI11G3
LDS-MAUI11G3 SUB
LDS-MAUI11G3W
LDS-MAUI11G3W SUB
LDS-MAUI28G2
LDS-MAUI28G2 SUB
LDS-MAUI28G2W
LDS-MAUI28G2W SUB
LDS-MAUI28G3
LDS-MAUI28G3 LS
LDS-MAUI28G3 SUB
LDS-MAUI44G2
LDS-MAUI44G2SUB
LDS-MAUI44SUB
LDS-MAUI5
LDS-MAUI5GO
LDS-MAUI5GO100
LDS-MAUI5GOW
LDS-MAUI5SUB
LDS-MAUI5W
LDS-MAUIP900 B
LDS-MAUIP900 G
LDS-MAUIP900 W
LDS-MIX102AG3
LDS-MIX102G3
LDS-MIX6AG3
LDS-MIX6G3
LDS-MON101AG2
LDS-MON10AG3
LDS-MON121AG2
LDS-MON12AG3
LDS-MON15AG3
LDS-MON81AG2
LDS-MON8AG3
LDS-RBUD10B5
LDS-RBUD10HSB5
LDS-RJ10
LDS-RJ8
LDS-U304.7R
LDS-U3047BPG
LDS-U3047BPH
LDS-U3047BPL
LDS-U3047BPW
LDS-U3047HHD
LDS-U3047IEMHP
LDS-U3047IEMR
LDS-U3047IEMTWIN
LDS-U3051BPG
LDS-U3051BPH
LDS-U3051BPL
LDS-U3051BPW
LDS-U3051HHD
LDS-U3051IEMHP
LDS-U3051IEMR
LDS-U3051IEMTWIN
LDS-U5047BPG
LDS-U5047BPH
LDS-U5047BPH2
LDS-U5047BPHH
LDS-U5047BPHH2
LDS-U5047BPL
LDS-U5047BPW
LDS-U5047HHD
LDS-U5047HHD2
LDS-U5051BPG
LDS-U5051BPH
LDS-U5051BPH2
LDS-U5051BPHH
LDS-U5051BPHH2
LDS-U5051BPL
LDS-U5051BPW
LDS-U5051HHD
LDS-U5051HHD2
LDS-U505BPG
LDS-U505BPH
LDS-U505BPH2
LDS-U505BPHH
LDS-U505BPHH2
LDS-U505BPL
LDS-U505BPW
LDS-U505HHD
LDS-U505HHD2
LDS-VIBZ10C
LDS-VIBZ12DC
LDS-VIBZ24DC
LDS-VIBZ6D
LDS-VIBZ8DC
MAD-HW-MYT
Maui 5 Go 100BC
Maui 5 Go 100LC
Maui 5 Go 100UC
PAL-PMONICON
PAL-PMONICONL
PAL-PMONICONW
PAL-PMONICONXL
U304.7R
Please enter a Model.
You must enter a Model.
Serial Number *
Please enter your serial number.
RMA Number
Purchase Date
Purchase date is required for warranty
First Name *
Please enter your first name.
Last Name *
Please enter your last name.
Address 1 *
Please enter your address.
Address 2
City *
Please enter your city.
State *
Select a State
Alberta
Alabama
Alaska
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
Newfoundland and Labrador
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Other
Please enter your state.
Zip *
Please enter Zip.
Email Address *
Please enter Email.
Invalid Email
Primary Phone *
Please enter your primary phone.
Invalid Phone Number
Reason for Repair *
Please enter Problem with Unit.
Save Original Box
(Note: If a box is deemed unsafe per carrier specifications, an additional fee will be charged with material costs to return your product)
Method of sending unit ?
DropOff
To Be Shipped
DropOff or Ship To PanurgyOEM ?
Method of return ?
PickUp
To Be Shipped
Pickup or Ship From PanurgyOEM ?
I have read the
Terms and Conditions
Please accept the terms and conditions.