SRA Form for
PARASOUND
Brand *
PARASOUND
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--
4 DAX
A 21+
A 23+
A 31
A 51
A 52+
HCA-1205
HCA3500
HINT 6
JC 2
JC 2 BP
JC 3 JR.
JC 3+
JC 5
NEWCLASSIC 200 PRE
NEWCLASSIC 2125 V.2
NEWCLASSIC 2250 V.2
NEWCLASSIC 275 V.2
P 6
P 7
ZAMP V.3
ZDAC V.2
ZONEMASTER 1250
ZONEMASTER 2350
ZONEMASTER 250
ZONEMASTER 450
ZONEMASTER 650
ZPHONO
ZPHONO XRM
ZPRE3
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 *
Original Box Notice:
Do NOT ship in original box/packaging. Your unit will be packed in a Panurgy box and returned to you.
Method of sending unit ?
DropOff
To Be Shipped
Method of return ?
PickUp
To Be Shipped
I have read the
Terms and Conditions