Warranty Registration Card

WARRANTY REGISTRATION CARD

To activate your new warranty, complete and submit this form upon receipt of your equipment.

* Required

Title

First Name *

Last Name *

Email Address *

Equipment *

SERIAL # *

DATE PURCHASED *

PURCHASED FROM *

DATE RECEIVED *

DATE CHECKLIST RUN *

CUSTOMER VERIFICATION (OWNER) *

ADDRESS *

ADDRESS

CITY *

STATE *

POSTAL CODE *

COUNTRY *

TELEPHONE *

Email address used only for important Myotronics product announcements and specials!

A Division of Myotronics-Noromed, Inc.
Leading in Musculoskeletal Evaluation Technologies Since 1966