REGISTRATION FORM

Please register your product warranty using the form below. Once your information has been
received and reviewed, a follow up email will be sent confirming your product warranty registration.
To expedite the process, please ensure that all information is accurate.

Fields with an (*) are required.

First Name *
 Last Name *
Email *
Telephone *

Example 888-555-1212 		Fax

Example 888-555-1313
Address *
 City *
 State *
 Zip code*
Model Name *

Example: Mr. 7 Hands 		Model Number *

Model numbers begin with DT
Purchase Date *

mm/dd/yyyy 		Purchase Location *

Name of store, Name of city 		Price *
$ USD
Excluding sales tax

Additional Comments