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Warranty Registration Form
Date of Purchase ….......…………...........……….................................
Name ….......…………...........……….................................
Company ….......…………...........……….................................
Address ….......…………...........……….................................
…………………….........……........... Post Code .....………....……….
Tel No ( ) ..............……….…. Fax No ( ) ....………...……….
E-mail ….......…………...........……….................................
The following information is vital for your warranty
Please make sure it’s correct and complete.
Serial No ….......…………...........……….................................
Model ….......…………...........……….................................
Product Type:
PC Card External
Internal Other
I intend to use this modem at:
Home School/College/University
Business Government Office
Dealer’s Name ….......…………...........……….................................
Dealer’s Address ….......…………...........……….................................
…………………….........……........... Post Code .....………....……….
Tel No ( ) ..............……….…. Fax No ( ) ....………...……….
How did you find out about our products?
…………………….............................………………………………………....…………
…………………….............................………………………………………....…………
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