DONATION CORE FORM
                               PLEASE FILL OUT FORM AND INCLUDE WITH YOUR UNIT FOR CORE
     Please package the item well, for safe shipping.

 
Thank you for purchasing from Original Car Audio, we appreciate your business!
We would much appreciate it if you would send us your old unit so we can propery recycle it/part it out.
Please email us at oemdesk@comcast.net and we will send you a shipping label, to save you shipping fees!
If you have a CD/DVD/Tape inside the unit, we will gladly remove it from the unit and ship it back to you, free of charge. Thank you again for choosing Original Car Audio!

                              

                     
Ship to:

Original Car Audio
12105 - 12th Ave. S.
Burnsville, MN 55337

 

                       

                    DATE:  __________    

                       

                    NAME:  ________________________________   PHONE #:__________________

 

                    EMAIL Address:  _________________________________

                    Form of Payment: ( )eBay     ( )Paypal     ( )Other ______________________

 

                    Your Vehicle:  YEAR _____  MAKE ____________  MODEL _____________

                    I would like my CD(s) back: ( ) Yes   ( ) No

                      

                    What seems to be the problem with your unit?:_________________________________                   

                                                                                                                                                                

                                                                                                                                             


                                                                                                                                             


                                                                                                                                              

                    Select your unit type:     Six CD ( )       Single CD ( )      DVD Player ( )       Nav ( )

                    By signing below, I authorise Original Car Audio to recycle and part out my equipment.
                   
                    Signature: ______________________________________________ Date: ___________