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Limited warranty form

When you are done, click “Submit Information”

Customer information

First name: *
Last name: *
Address: *
City: *
Province / State: *
Country: *
Postal Code / Zip Code: *
Phone number (Residential): *
Phone number (work) :
Cell phone:
E-mail:
Language: English French
Comments:

Equipment covered

Model number

 Serial number Description

Date of Purchase: yyyy-mm-dd
Date of installation: yyyy-mm-dd
Authorized dealer:
 


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