SRA Form for
ELITE
Brand *
ELITE
CHECKLIST
PLEASE DO NOT INCLUDE ACCESSORIES
(remote, power cord, mic, etc.)
PREFERRED CARRIERS
FEDEX or UPS
In Warranty?
In Warranty
Out of Warranty
Model *
--Select a Model--
A-20
AC700
BDP-62FD
BDP-80FD
BDP-85FD
BDP-88FD
FSEB70
SC-71
SC-72
SC-77
SC-81
SC-82
SC-85
SC-87
SC-89
SC-91
SC-95
SC-97
SC-99
SCLX501
SCLX501SLS
SCLX701
SCLX904
SEB1
SEB1SW
SP-EBS73-LR
SP-EC73
SP-EFS73
SXS30
VSX-43
VSX-44
VSX-45
VSX-53
VSX-70
VSX-80
VSX-90
VSXLX101
VSXLX102
VSXLX103
VSXLX104
VSXLX301
VSXLX302
VSXLX303
VSXLX304
VSXLX50
VSXLX503
VSXLX504
Serial Number *
RMA Number
Purchase Date
First Name *
Last Name *
Address 1 *
Address 2
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
Zip *
Email Address *
Primary Phone *
Reason for Repair *
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
Method of return ?
PickUp
To Be Shipped
I have read the
Terms and Conditions