II"
1.Mr.
First Name
Street
City
2. Dealer Name
City
Nikkor AF or PC Nikkor
1 Year Warranty + 4 Year Extended service Coverage =
5YEARS OF PROTECTION
Mrs.Ms.
Initial Last Name
| Apt. No. |
State | Zip Code |
State | Zip Code |
3. Your Telephone #4. Serial #5. Date of Purchase
|
|
|
|
|
|
| / |
| / |
|
|
|
|
|
|
| Month | Day | Year |
6. | Lens Model: | _ | mmfl |
|
|
|
|
|
|
7. | Model (check one) 040 | _ | 040X | 050 | 070/070S | 080 | 0100 |
|
|
| 0200 | _ | 01X | 02x/02XS | 02H | Other |
|
|
|
PIN 5324 |
| • SEE REVERSE FOR COMPLETE ESC TERMS AND CONDITIONS • |
|
|