Please complete this Warranty Card and mail in with proof of purchase within 30 days.
WARRANTY REGISTRATION CARD
(Please Print)
Name:
____________________________________________________________________________
Institution Name (if applicable):
____________________________________________________________________________
Address:
____________________________________________________________________________
City: _______________________________
Postal Code:_______________________
Country:_____________________________
State/Province:__________________________
*Model #: __________________________
* Serial #: ___________________________
Purchased from (if not directly from AMDi):
________________________________________________________________________
Purchased Date: _____________________
E-mail: ____________________________
Phone: (
Fax: (
) ________________________
) _______________________
*The Product # and Serial # can be found on the silver label on the back of your product.