This is to authorizate Audio Video Service Labs Inc (a Kenwood
Authorized Service Depot) to charge repairs for
Claim # ______________________ to my
Visa / Master Card / American Express / Discover
Exp Date _____________
CVV2/CVC2/CID Number ________________ (See back of Credit Card)
Billing City / State / Zip:
Please ship my product as follows:
(You need not complete this section if the shipping address is the billing address.)
Shipping City / State / Zip:
Signature of Credit Card Holder: ___________________________________
Print Signature Name:______________________________________
Fax Reply: (757) 340-6809
For the customer's protection we will charge repairs to this
credit card only as authorized above. We do not keep your
credit card information on file for any future repairs.
WE DO NOT ACCEPT DEBIT / CHECK CARDS on mail order sales.
I understand that all parts sales are final.