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Product Registration form

Dealers, please fill out this registration form for each Anderson product sold to customer. You have to register your product within 90 days of purchase to activate the warranty. If you have any question, contact us at service@grpanderson.com

(*) Mandatory field

Date:(*)
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Customer no.:
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Dealer information

 

Client information

Company:(*)
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  Company:(*)
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Address:(*)
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  Address:(*)
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City:(*)
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City:(*)
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State/Province:(*)
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  State/Province:(*)
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Zip/Postal Code:(*)
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  Zip/Postal Code:(*)
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Country:(*)
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  Country:(*)
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Phone:(*)
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  Phone:(*)
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Fax:
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  Fax:
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Email:(*)
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  Email:
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Contact name:(*)
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  Contact name:(*)
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Product information

Model:(*)
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Serial number:(*)
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Date of purchase (from dealer to customer):(*)
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Comments or additional information

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