REGISTRATION
To better service your wire stitching needs, please
take a moment to fill out and return this registration card.
Name :
( First ) ( Middle Initial ) ( Last )
Company :
Street Address :
City : State/Province : Zip :
Country :
Phone : Fax : E-mail :
Machine(s) Purchased :
Serial Number(s) :
With Head(s) :
( Type/ Quantity Purchased )
Serial Number(s) :
Head(s) Purchased :
Serial Number(s) :
Date Received :
Dealer Name :
Dealer Street Address :
City : State/Province : Zip :
Country :
Dealer Phone :
Other Bindery Products Used :
Would you like information sent to you about new products
that would benefit your company? Yes No
CUSTOMERPRODUCT
DEALER
Please take a moment to fill out the attached card
and mail it to DeLuxe Stitcher Company, Inc.
In addition, duplicate the information for your
records to assist when making further inquiries.
PRODUCT
Machine(s) Purchased :
Serial Number(s) :
With Head(s) :
( Type/ Quantity Purchased )
Serial Number(s) :
Head(s) Purchased :
Serial Number(s) :
DE LUXE STITCHER GRAPHIC ARTS REPRESENTATIVE
Date Received :
Dealer Name :
Dealer Street Address :
City : State/Province : Zip :
Country :
Dealer Phone :
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