Product Warranty Registration

Use this form to register your Optec display purchase.
It will insure that you get warranty protection and announcements about your product.

Your:
First Name:*
Last Name:*
Company (end user):*
Title:*
Phone:*	-
Address:*
City, State ZIP:*
Email:*
Display Location:*
Business Focus:*
Date of Purchase:*
Dealer Name:
Model#:*
Sales Order#:*
Serial#:*
*	required

Optec Displays Inc, 530 South 6th Avenue, City of Industry, CA 91746
Los Angeles Headquarter: 626-369-7188 - Fax:626-369-7858 - Toll Free US: 800-876-1668