Registration Form, Humio Registration

REGISTRATION FORM

HUMIO REGISTRATION

Tribest Corporation

P.O Box 4089

Cerritos, CA 90703

Place

Stamp

Here

Humio Humidifier and Night lamp Registration Form

Please fill out and return within 10 days to register your product. Registration ensures that you receive timely service should any warranty service be needed for your machine.

1. Users Information

Mr. [ ]

Mrs. [ ]

Ms. [ ]

Miss [

]

First Name:

Last Name:

Address:

City:

State:

Zip:

Telephone: (

)

E-mail:

2.Dealer Information Dealer Name: Address:

City:			State:		Zip:

3.Product Information Model Number HU-1020 Serial Number:


Date of Purchase:		/		/
	Month		Date		Year