Table of Contents
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Cut out and mail warranty registration to:
Intec America Corporation
1047 Millerville Road
Baton Rouge, LA 70816
Please cut along dotted line.
1. Client Name:
2. Client Physical Address:
3. City:
6. Client Billing Address (If Different)
7. City:
10. Home Phone:
12. E-mail address
14. Product Model:
How did you hear about Intec?
Internet
Source:______________
Please cut along dotted line.
15. Date Purchased 16. Serial Number
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Source:______________
27
4.State
8. State
11. Alt. Phone
13. Place of Purchase
Referral
Source:______________
5. Zip Code
9. Zip Code
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Table of Contents
