Warranty Registration Form

PRODUCT WARRANTY REGISTRATION FORM

Our Privacy Policy & Notification may be found here. It has important information we are required to notify you about how we manage your personal information.

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

Captcha