Cut Here

Product Registration Card

Fax to 919.850.0720 or Drop in envelope to:

5640 Departure Dr. Raleigh, NC 27616

T100

Model No.

 

 

 

 

 

Serial No.

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Company Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

 

 

Zip

 

 

 

 

 

 

 

Daytime Phone with Area Code

 

Email Address

 

 

Fax#

 

 

 

 

 

 

 

 

Purchased From

 

 

 

 

 

 

 

Purchase Date

So that we may serve you better, please indicate your primary business activity.

(01)

Manufacturing

(07)

Hotel/Motel

(02)

Wholesale

(08) Banking/Financial

(03)

Retail

(09) Medical/Dental

(04)

Government

(10)

Construction

(05)

University/School

(11) Other

(06)

Restaurant

 

 

Number of Employees using this product

 

 

(20)

1-10

(23)

50-75

(21)

11-25

(24)

76-100

(22)

26-49

(25)

100+

Annual Sales in dollars

 

 

(30)

Under $100,000

(33)

$500,000 – 1,000,000

(31)

$100,000 – 250,000

(34)

$1 million – 5 million

(32)

$250,000 – 500,000

(35)

$over 5 million

Do you use Microsoft Windows?

 

 

(40) Yes

(41)

No

Are you interested in receiving additional product information?

(50) Yes

(51) No

 

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Timex T100 user manual Product Registration Card