Seiko SLP120 User Manual page 56

Please place this card in with product being returned
for service:
1. Select the appropriate box:
Warranty Repair
No charge. Must include dated proof of purchase.
Out of Warranty Repair
Payment:
(circle one) VISA
Cardmember's Name
__________________________________________
Card Number: ______________________________
Expiration Date: __________________
Signature: _________________________________
2. Where should we send the repaired printer:
Company:
________________________________________________
Name:
________________________________________________
Address:
________________________________________________
________________________________________________
City, State, Zip:
________________________________________________
Phone:
Return Information Card
Check enclosed
MasterCard
(____) ______-____________
(as it is printed on the credit card):
Credit Card
AMEX (USA only)