Thank you for your new equipment purchase, in order to protect your new purchase under DUX Dental's manufacturer warranty, complete the registration form below within 10 days after receipt of the product and click on the
submit button. Alternately, click here to print out the form and complete by hand, then mail to the appropriate address below. |
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| Purchaser: |
| *First Name: |
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| *Last Name: |
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*Telephone: |
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| *Occupation |
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Fax: |
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| *Address: |
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*E-Mail: |
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| Address: |
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| *City: |
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*Type of Practice: |
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| *State: |
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*Dealer: |
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| *Zip: |
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| Equipment: |
| *Equipment purchased: |
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*Model Number: |
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| *Reason for purchase: |
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Serial Number: |
Not applicable to Alginator |
| *Date of Purchase: |
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| *Required Information |
| Address: |
United States
600 East Hueneme Road,
Oxnard, CA 93033, USA
P:1.800.833.8267 or
805.488.1122 |
F: 805.488.2266
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Europe
Zonnebaan 14,
3542 EC Utrecht,
The Netherlands
P:+(31) 30 241 0924 |
F:+(31) 30 241 0054
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To request additional information be sent to you on the following products, please select:
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| E-mail List Opt-in: |
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