Replacement Installation DVD

Form for customers to complete when they are missing the installation DVD, which includes the 50 Beamz songs provided with the C4 and C6 skus.

Beamz Hardware*
- Beamz Player (model C4: 4 beam/black)
- Beamz Player DJ & Pro Audio Edition (model C4-BSB: 4 beam/black)
- Beamz (model C6: 6 beam/grey)
- Beamz Pro (model C6-Pro: 6 beam/grey)
- LaserBand (model C4: 4 beam/purple-green)
Serial # (located on product ID label on base of the product)*
UPC Code (on bottom panel of box)*
Purchase Date*
Purchased From*
First Name*
Last Name*
Email*
Phone*
School/Organization Name (if applicable)
Street Address*
Address Line 2
Address Line 3
City*
State / Provence*
Zip Code*
Country*
Replacement Need Reason*
- Not Included With Product Purchase
- Damaged Disc
- Misplaced After Product Purchase
- Other (indicate reason in comments field below)
Other Comments
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