EvTek.com: Warranty Registration

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		Product Information Warranty Registration

Customer Information
* required field
Company Name:
* First Name:
* Last Name:
Middle Initial:
* Address Line 1:
Address Line 2:
* City:
* State:
* Zip Code + 4	+
* Phone:	(ext)
Fax:
E-Mail Address:
Will this product be use by the person listed above?	Yes No

Product and Purchase Information
* Model Number:	(i.e.:99-131001-00):
* Serial Number:
* Purchase Date:
* Where Purchased:
About how many employees work for your company?
Is this your first EvTek purchase?	Yes No
Will this machine be connected to a network?	Yes No
If you answered yes to the previous question, is your network...	Windows NT/2000 Netware UNIX Don't Know Other
Will this machine have Internet connectivity?	Yes No
If yes, how will it connect?	Modem Network Cable Modem DSL Don't Know Other
Are you interested in an extended warranty on your new EvTek?	Yes No
Does your company have a dedicated IS staff?	Yes No
* Please e-mail me the following:	Technical Information New Product Information

EvTek * One Whalley Way * Southwick, MA * 01077 * (413) 569-4400