Micro Mega - GUARANTEE...

GUARANTEE CARD MUST BE SENT BACK OR INTERNET GUARANTEE REGISTRATION MUST BE DONE WHEN USING INSTRUMENT FOR THE FIRST TIME

Model*:

Serial number*:

Purchase date:
(AAAA-MM-JJ)

Dealer:

Practitioner’s surname:

Practitioner’s first name:

Number:

Street:

City:

Post code:

State:

Country:

e-mail address:

Telephone number:

Fax number:

If maintenance is done with TURBOCID^®, please indicate its serial number:
If maintenance is done with X-Cid^®, please indicate its serial number:

Comments:

* please see on product packaging
All the fields ( except TURBOCID^® or X-Cid^® serial numbers ) must be filled.

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