Product Registration - Human Design Medical Z1 Auto System User Manual

AN AFFILIATE OF BREAS MEDICAL AB
Mail completed form to:
HDM Product Registration
200 Garrett St, Suite P
Charlottesville, VA 22902
Register your new device .
Registering your device allows us to provide better customer
service and warranty coverage . Please register as soon as
possible .
About you.
NAME:
First
EMAIL ADDRESS:
MAILING ADDRESS:
Street or PO Box
City
PHONE NUMBER:
About the device.
WHAT DEVICE DID YOU PURCHASE?
WHERE DID YOU PURCHASE THE DEVICE?
Z1 SERIAL NUMBER
The device serial number can be found on the back of the
unit . Look for the string of numbers following
MI Last
State Zip
PURCHASE DATE:
____/____/____
POWERSHELL SERIAL NUMBER
[MM/DD/YY]
11042013
31