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Product Warranty Registration

Product Warranty Registration

User Information
* indicates required field
Address Type Address Type
Name* First name
   Last name
Title Title
Company Name Company name
Address*   Address
Apartment # Apartment #
Address City City
State*   State
Zip*
(Example: 00000) 		    Zip
Phone No Phone No
Fax. No. Fax. No.
E-mail address E-mail address

Product Information
* indicates required field
Date of purchase* Date of purchase
Model* Model Name
Product serial number*   Product serial number
Purchased from*   Purchased from
Certificate #   Certificate #

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What were the main applications used for the product? (Check THREE only)













What percentage of your documents use color?


Is the product connected to a network?

If Yes:
Connected Through




Server operating system is







How many people share this product?

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