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Note:
The defect unit must be returned with the original carton box of the RM unit in order to avoid damage during transportation.
Please fill out this form completely as it is very important for the exchange operation.
ONLY 1 unit per request
.
**All fields are required unless otherwise noted.
Dealer Info
(Exchange Unit will be shipped to this address)
Dealer Name:
Contact / Attention Name:
Address:
Address 2 (optional):
City:
State/Province:
Postal Code:
Country:
Fax:
Email Address (optional):
**Check one model only.
Model Number
Serial Number
GX-201SE
GX-201SH
GX-201SN
GX-204SE
GX-201KE
GX-201KH
GX-201KN
GX-203SE
FGZ001UF
FGZ001UF2
Warranty Start Date
Car Model Number
Milleage
1
2
3
4
5
6
7
8
9
10
11
12
/
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
2024
2023
2022
2021
2020
2019
km
mile
Car Vin Number
(17 Digits)
Instructions: Prior to removing the audio unit, the following checks must be carried out.
1.
Radio cannot be activated
DEALER CHECK:
Car Fuse / Radio Fuse
Power Lead
2.
No audio output / poor audio quality
- Original Speakers
Yes
No
DEALER CHECK:
Bass / Treble Control
Fader / Balance Control
Speaker Cable
3.
Radio Interference
DEALER CHECK:
Bass / Treble Control
Fader / Balance Control
Speaker Cable
Defect Description
GENERAL
CASSETTE DECK
1.
No audio output
1.
Does not eject
2.
No display indicators
2.
Does not load
3.
No power
3.
No auto reverse
4.
Others
4.
Others
TUNER
CD PLAYER
1.
No reception
1.
Does not eject
2.
No scan or seek
2.
Does not load
3.
No memory
3.
Skips irregularly
4.
Others
4.
Others
HEATER CONT.
1.
No audio output
2.
No display indicators
3.
Others
Condition When Failure Occurred
Ambient Temperature
Cold
Warm
Hot
Frequency of Occurence
Intermittently
Regularly
Engine Status
Engine Off
Engine Running
Location
Urban Area
Rural Area
Other Comments
