Ship to:
  Delta  Audio
  7054 N Clark St.
  Chicago, IL 60626
  Company  Name    Shure Dealer Number 
  Address   Please note: No shipments made to P O boxes
  City    State     Zip 
  Contact  Name
  Phone   Ext.   Cell 
  Brand name
  Type of unit
  Items included
  Detailed problem description
   Return Shipping
   and Insurance 
Basic return shipping via UPS or USPS ground is included in your labor cost.
If you want to have your equipment insured, please enter the amount of insurance you want in the box below and we will add it to your bill.
Note your payment preference (optional):  (check one)   Visa     MC      How did you hear about us?
Account Number:   Delta Audio Web Page    Shure Brothers       Facebook 
Cardholder's Name:  Yelp      Google search      Twitter 
Expiration Date:  CVC     Other      Thank you
No checks or money orders.

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