This is to authorizate Audio Video Service Labs Labs Inc. (a Kenwood Authorized
Service Depot) to charge
all repairs for (Business Name) ___________________________________________
(Personal Card / Business Card) 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
WE DO NOT ACCEPT DEBIT / CHECK CARDS for mail order sales.
I understand that all parts sales are final.