CD-Rack VS Song-Vault Conversion

Name _____________________________________

Address______________________________________

_____________________________________________

_____________________________________________

Phone Number ________________________________

eMail Address __________________________________________

Which Package Did You Purchase?

[ ] Pkg #1 Song-Vault Pro Conversion

[ ] Pkg #2 Song-Vault Pro + DVD Conversion

[ ] Pkg #3 CD-Rack Conversion to DVD

       [ ] Pkg #4 1880/1680/1824 version (No HD)

I understand that this procedure involves modification of my CD-Rack
and may void any warranties on my CD-Rack due to the fact that this
is not a Roland authorized procedure.

Signature ___________________________  Date __________

Ship CD-Rack to:

Brett LaCroix
535 NW Radio Ct.
Toledo, OR 97391

Include this form with CD-Rack!