Registration Card Form (Warranty)

Thank you for visiting the Electra Medical Corporation Web site. You may complete this form for any of the following:


  • To receive your warranty against defects in materials and workmanship
  • Please provide the following:
  
Model Type:
Model Number:
Serial Number:
Date of Purchase (mm/dd/yy):
Name:
Company:
Address:
City:
State:
Country:
Zip Code:
Telephone:
Fax:
E-mail:
Distributor:
Your Comments:
 

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