SRA Form for
TCELECTRONIC
Brand *
TCELECTRONIC
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--
FLASHBACK 2
3RD Dimension Chorus
AEON
ALTEREGOX4
BAM200
BG250 COMBO
BH250
BH-550
BH800-ALL
Blood Moon Phaser
BQ250
Chorus +
Cinders Overdrive
CLARITY M
CLARITY M STEREO
Corona Chorus
Ditto Jam X2 Looper
DITTO LOOPER
DITTO X2 LOOPER
DITTO X4 LOOPER
Dreamscape
D-TWO
Echobrain
Finalizer 96K
Flashback 2
Flashback Mini
FLASHBACK X4
Forcefield Compressor
G Major 2
G-Force
GFX01
G-Major
G-System
HALL OF FAME 2
Hall Of Fame 2X4 Reverb
HYPERGRAVITY COMPRESSOR
ICONMKII
JUNE-60
Konnekt Live
Level Pilot - 1 Units-ALL
M100
M3000
Mimiq Doubler
MOJOMOJO OVERDRIVE
M-One XL Multi Effects Processor-ALL
NOVA SYSTEM
Pipeline Tap Tremolo
Play Acoustic-EU/US
Plethora X5
Polytune 2 Mini Noir
PolyTune 3
PolyTune 3 Mini
PolyTune Clip Black
PolyTune Clip White
Prophet Digital Delay
Quintessence
Reverb 4000
RH450
RH750
Rusty Fuzz
Sentry Noise Gate
Skysurfer Reverb
Spark Mini Booster
Studio Konnekt 48
SUSTAIN + PARAMETRIC EQUALIZER
System 6000 Mainframe
TE P0CI3
Tube Pilot Overdrive
VIBRACLONE ROTARY
Viscous Vibe
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