Registration form, for extended guarantee

Dear Customer!

You can register new tubes here, for extended factory guarantee, which is maximum 5 years. Registration should be done within 4weeks after receival.

(1) Guarantee Code (as on box):

(2) Seller (Full name) :

(3) Shipment date (as on box):

(4) Your Full name:

(5) Your Country + Zipcode:

(6) Your Email Address:

(7) Series Numbers (Like: P607, P808...etc)

Optional Text:

Security word: 703S     (Enter the code here)