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Product Registration Card
Fax to 919.850.0720 or Drop in envelope
Acroprint Time Recorder Co.
5640 Departure Dr. Raleigh, NC 27616, USA
PD100
Model No. Serial No.
First Name Last Name
Title
Company Name
Address
City State Zip
Daytime Phone with Area Code Email Address Fax#
Purchased From Purchase Date
So that we may serve you better, please indicate your primary business activity.
(01) Manufacturing (07) Hotel/Motel
(02) Wholesale (08) Banking/Financial
(03) Retail (09) Medical/Dental
(04) Government (10) Construction
(05) University/School (11) Other
(06) Restaurant
Number of Employees using this product
(20) 1-10 (23) 50-75
(21) 11-25 (24) 76-100
(22) 26-49 (25) 100+
Annual Sales in dollars
(30) Under $100,000 (33) $500,000 – 1,000,000
(31) $100,000 – 250,000 (34) $1 million – 5 million
(32) $250,000 – 500,000 (35) $over 5 million
Are you interested in receiving additional product information?
(40) Yes (41) No