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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NetComm NP5400 manual Warranty Registration Form