NetComm AM5698 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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