NetComm Roadster V.92 AM5698 - Warranty Registration Form

Warranty Registration Form
Date of Purchase …….......………………...........……….................................
Name …….......………………...........……….................................
Company …….......………………...........……….................................
Address …….......………………...........……….................................
…………………….........……........... Post Code .....………...……….
Tel No ( ) ..............………....……. Fax No ( ) .....………...……….
E-mail …….......………………...........……….................................
The following information is vital for your warranty
Please make sure it’s correct and complete.
Serial No …….......………………...........……….................................
Model …….......………………...........……….................................
Product Type:
PC Card External
Internal Other
I intend to use this modem at:
Home School/College/University
Business Government Office
Dealer’s Name …….......………………...........……….................................
Dealer’s Address …….......………………...........……….................................
…………………….........……........... Post Code .....………...……….
Tel No ( ) ..............………....……. Fax No ( ) .....………...……….
How did you find out about our products?
…………………….............................………………………………………....…………
…………………….............................………………………………………....…………
!
Make sure
you fill this
section in!
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