Exchange Form

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

Mailing Address:

German Audio Tech

Attn: Exchanges

65 Pine Ave. #337

Long Beach, CA 90802

Hello , my information is as follows:

Name: ______________________________________________________________________________________

Address: ____________________________________________________________________________________

___________________________________________________________________________________

Telephone Number: (________)________________-_________________________________________________

Purchase Date: ______________________________________________________________________________

eBay Information (If Applicable)

Amazon / eBay Member ID: ___________________________________________________________________

Amazon / eBay Listing Item #:__________________________________________________________________

I would like to exchange for: __________________________________________________________________

____________________________________________________________________________________________

Special Notes: ______________________________________________________________________________

____________________________________________________________________________________________

THANK YOU!