R & R COMMUNICATIONS, INC.
302-475-1351
Form To Be Completed And Sent With Equipment

Please Print
Name  
Address  
City   
State  
Zip Code  
Phone Number (Home) (        )
Cell Phone Number  (        )
"E" Mail Address  
Date  
*Warranty  (Circle One)   Yes       No 
   *(You Must Furnish A Copy Of Your Dated R & R Sales Receipt For Warranty)   (We do Not Keep Copies Of Sales Receipts -It Is Your Responsibility)
         (Warranty Is Only For Equipment Purchased At R & R)   (Warranty Is For The Original Owner Only)          
Make  
Model  
Serial Number  
Accessories Shipped With Radio  
 Describe Below All Problems and/or Additional Work You Require. Please Print!!