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Warranty Registration
Warranty Registration: Company: First Name: Last Name: Gender : Male Female Title/Position): Street Address: City: State/Province: Zip/Postal Code: Country: Telephone Number: Mobile Phone Number: E-Mail Address: Product/System Information Product Brand 1: Model Number 1: Serial Number 1: Product Brand 2: Model Number 2: Serial Number 2 Product Brand 3: Model Number 3: Serial Number 3: Date Purchased: (mm/dd/yy) Any Comment Regarding your Purchase Experience (enter comments here) Would you like to receive product information via email? (Y/N): Do you need a support follow up call (Y/N): Overall Satisfaction Level: Excellent Good Average Poor
Company:
First Name:
Last Name:
Country:
Serial Number 1:
Product Brand 2:
Model Number 2:
Serial Number 2
Product Brand 3:
Model Number 3:
Serial Number 3:
Date Purchased: (mm/dd/yy)
Would you like to receive product information via email? (Y/N):
Do you need a support follow up call (Y/N):
Tel:1.877.902.2979-1.425.223.4311 Fax:1.877.329.4324 Address: 1480 Gulf Road, Suite 837, PO Box 1364 Point Roberts, WA 98281
Tel:1.800.663.6001 or 1.604.925.6150 Fax:1.604.925.6170 Address: 2454 Haywood Ave West Vancouver, BC V7V 1Y1
Tel:1.800.465.0164 or 1.905.513.7027 Fax:1.877.329.4324