Brunton ROGER 18 SERIES Warranty Registration

Please return within 30 days of purchase

Name: ___________________________________________________________________

Address: __________________________________________________________________

City: _______________________ State: _____________ Zip Code :____________________

Phone : ___________________________ Email: __________________________________

Date Purchased: ____________________________________________________________

Wouldyou like to receive a Brunton catalog? ( )Yes ( )No

Please let us know whereyou purchased your ROGER 18?

Store Name: _______________________________________________________________

City: _______________________ State: _______________ Zip Code: _________________

( ) Online site ______________________ ( ) Catalog ______________________________

( ) Gift ( ) Brunton ( ) Other _________________________________________________

Do you own another Brunton product?

( ) Yes. Product: ____________________________ ( ) No

Warranty Registration

ROGER 18 Series