Core Buy Back Program

**Please print and send this completed form with your part**

Mailing Address:

German Audio Tech

Attn: Buy Back

65 Pine Ave. #337

Long Beach, CA 90802

Hello, my information is as follows:

Name_______________________________________________________________________________________

Address _____________________________________________________________________________________

__________________________________________________________________________________

Telephone Number (________)________________-__________________________________________________

Purchase Date _______________________________________________________________________________

eBay Information (If Applicable)

eBay ID: ____________________________________________________________________________________

eBay Item #:_________________________________________________________________________________

The issues that I am aware of with this item are:_____________________________________________________

____________________________________________________________________________________________

Special Notes:________________________________________________________________________________

____________________________________________________________________________________________

*If you are sending in a radio please be sure to include the anti-theft code*

THANK YOU!