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Warranty Registration

WARRANTY REGISTRATION
MODEL SKINREX CAVI-LIPO DEX
SERIAL NUMBER SR - DX - -
( D D / M M / Y Y Y Y )
AGENT (BUYER COPY)
AGENT / BUSINESS NAME   COUNTRY  
ADDRESS  
CONTACT LANDLINE Country Code (+         )
MOBILE Country Code (+         )
E-MAIL Country Code (+         )
AGENT SIGNATURE I/We hereby certify that the substance referred to above will not be re-sold or otherwise supplied to any other customer unless the latter furnishes a declaration of use in accordance with this model.
( DD / MM / YYYY )
BUYER (AGENT COPY)
MODEL SKINREX CAVI-LIPO DEX
SERIAL NUMBER SR - DX - -
( D D / M M / Y Y Y Y )
AGENT / BUSINESS NAME   COUNTRY  
ADDRESS  
CONTACT LANDLINE Country Code (+         )
MOBILE Country Code (+         )
E-MAIL Country Code (+         )
BUYER SIGNATURE I/We hereby certify that the substance referred to above will not be re-sold or otherwise supplied to any other customer unless the latter furnishes a declaration of use in accordance with this model.
( DD / MM / YYYY )

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