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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 (+ ) | ||
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 (+ ) | ||
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 ) |