Your Passport™ Hearing InstrumentsHearing Healthcare Professional: __________________________________________________________________________Telephone: _________________________________________Model:_____________________________________________Serial Number: ______________________________________Replacement Batteries: Size 312Warranty: __________________________________________Program 1 is the Automatic ProgramProgram 2 is the manual program for: ___________________Program 3 is the manual program for: ___________________Program 4 is the manual program for: ___________________Date of Purchase: ____________________________________1