Warranty Registration Form

PRODUCT WARRANTY REGISTRATION FORM

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Registration Type

Individual

Business

PRODUCT DETAILS

Upload InvoicePDF, DOC or JPG

Date Purchased

Product Model

Serial Number

Did you buy extended warranty?

Yes

RETAIL / RESELLER / DEALER DETAILS

Retail/ Reseller/ Dealer Name

CONTACT DETAILS

Title

First Name

Last Name

Confirm Email

Phone

Mobile

Country / Region

Address 1

Address 2

Post Code

Suburb / City

I would like to receive marketing communications from Fuji Xerox with special offers and new product updates