NetComm NP3640 manual Warranty Registration Form

Cut along the line

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:									Make sure
	PC Card				External				you fill this
	Internal				Other				section in!
									!
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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