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Ihara U.S., Inc. - Product Registration
Product Registration
Please read the Warranty Card enclosed with your instrument. Then, complete and submit this form within 10 days of purchase to validate your product warranty.
Customer Information
Salutation:
First Name:
Last Name:
Title:
Company:
Address:
Address2:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:      
Email:
Web Site:
Product Information
Model No.:
Date of Purchase:
Serial No.:
Purchase Price:    
Place of Purchase:
City:
State: 
Zip:
Country:
Please answer the following questions:

1) What features most influenced this purchase? Please check all that apply:

Quality / Value
Durability / Reliability
User Friendly
Features
Ease of Operation
Other, please specify:

2) The number of people employed in your location are:

1-4
5-9
10-19
20-25
26-99
100 or more

3) How did you hear about our products?

Dealer
Advertisement
Demonstration
Trade Show
Referral
Previous experience with our product
Other, please specify?

4) Which dealer do you purchase your equipment from?

5) Did you find our website informative?

Yes
No

Please explain:

6) Would you like to be added to our mailing list?

Yes
No

7) I am interested in receiving more information on the following:

Digital Plate Readers
Spectrophotometers
Pantone Formula Scales
Reflection Densitometers
Transmission Densitometers
Color Management Devices
Multi-Color Viewing Magnifiers
Ink / Paint Formulation Solutions
Quality Control Software
Scanning Densitometers/Spectrophotometers
Liquid Colorimeters
Quality Control Software
Other, please explain:


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