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Get Panasonic 5 Year Warranty Registration

Panasonic Scanner Extended Warranty Registration Form Thank you for your purchase s of a Panasonic document scanner. End-user must submit the Scanner Registration Form with original proof of purchase. 4. The Panasonic Scanner Extended Warranty Registration Form must be completed in its entirety. To register for your free 2nd year advanced exchange warranty upgrade simply complete this electronic registration form in its entirety and submit to Panasonic along with your proof of purchase. This completed form and proof of purchase can be submitted via email to PDDCSVC us. panasonic*com or faxed to 847 637-4726. Customer Information First Name Last Name Company Address City State Phone Fax Suite / Apt. Zip Code Yes I would like to receive future email updates regarding Panasonic Scanners. Email Product Information Model Serial Purchase Date Bundled w/ VRS Place of Purchase Note Serial can be found on the back of the scanner unit. Product Use Experience Which desktop operating system will you utilize with your scanner Which best describes your business type If other please provide further detail What types of documents will you typically scan What capture software do you use What content management software do you use What will be the primary use for this scanner What other brands did you seriously consider before selecting Panasonic Select all that apply Xerox Canon HP Fujitsu Kodak Visioneer Other In the future do you expect your scanners to offer any of the following listed features On a scale of 1 Poor to 10 Excellent how would you rate the qualities listed below Ease of installation Ease of use Scan to Cloud e*g* Dropbox Scan to Shared Network Drive Direct Network Connectivity Program Terms Conditions 1. Minimum purchase of one 1 applicable scanner required* 2. Promotion is valid to the end-user only. 3. Incomplete forms will be refused* 5. End-user must submit the Scanner Registration Form with a copy of the original proof of purchase within 30 days of the date of purchase. 6. 2-Year warranty promotion cannot be combined with the purchase of any extended warranty services. 7. The purchase of any onsite warranty service will supersede this warranty promotion* 8. Customer must purchase an applicable scanner between the dates of April 1 2012 and June 30 2012. 9. Promotion only valid within the continental United States excludes Latin America and Canada* 10. Panasonic reserves the right to alter or cancel this promotion at any time without prior written notice. This completed form and proof of purchase can be submitted via email to PDDCSVC us. panasonic*com or faxed to 847 637-4726. Customer Information First Name Last Name Company Address City State Phone Fax Suite / Apt. Zip Code Yes I would like to receive future email updates regarding Panasonic Scanners. Customer Information First Name Last Name Company Address City State Phone Fax Suite / Apt. Zip Code Yes I would like to receive future email updates regarding Panasonic Scanners. Email Product Information Model Serial Purchase Date Bundled w/ VRS Place of Purchase Note Serial can be found on the back of the scanner unit.

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