MEDIAID 5340V User Manual - Warranty Registration Form

Warranty Registration Form 

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WARRANTY REGISTRATION FORM 

Please return to Mediaid Inc. / local distributor for validation 

MEDIAID INC. 

(Tel) 714-367-2848 (Fax) 714-367-2852 

Email: info@mediaidinc.com Website: www.mediaidinc.com 

17517 Fabrica Way Suite H, Cerritos, CA 90703 USA 

Model ______________________ Serial Number ___________________________ 

Date of Purchase _____________________________________________________ 

Institution/Physician __________________________________________________ 

Address ____________________________________________________________ 

___________________________________________________________________ 

___________________________________________________________________ 

Contact Department __________________________________________________ 

Telephone __________________________________________________________ 

Distributor _________________________ Phone __________________________ 

Comments __________________________________________________________ 

___________________________________________________________________ 

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