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Document Imaging Products

Registration for Enhanced, Extended, Post Warranty and Support Services Care Kits

Please provide the following information as completely as you can. After you have finished, a confirmation page will be available for you to print for your records.

* - required fields		  
 
Care Kit Terms & Conditions
 
CARE KIT PURCHASE INFORMATION
*KODAK Care Kit purchased:  
*KODAK Care Kit Serial Number:   
 (located within the virtual Care Kit pdf file)
Care Kit Purchase Date:         
 
EQUIPMENT/SOFTWARE PURCHASE INFORMATION
*Product:  
Product Serial Number:   
 * The 'Product Serial Number' field is required for Extended Warranty and POST Warranty Care Kits.
Kodak K Number:   
 Sample K# label
Purchased Date:         
 * The 'Purchased Date' field is required for Extended Warranty Care Kits.
 
INSTALLED AT LOCATION
*First Name:   
*Last Name:   
*Job Title:   
*Company Name:   
*Address 1:   
Address 2:   
*City:   
*State / Province:  
*Zip / Postal Code:   
*Country:  
*E-mail:   
*Phone:   
Fax:   
 
*Please send me promotional e-mails from KODAK Document Products and Services.
  Yes   No    
 
BILLING INFORMATION
 Check box if same as Installed at Location above, otherwise please input the following information:
First Name:   
Last Name:   
Job Title:   
Company Name:   
Address 1:   
Address 2:   
City:   
State / Province:  
Zip / Postal Code:   
Country:  
E-mail:   
Phone:   
Fax:   
 
 
CARE KIT SALES INFORMATION
Reseller Purchased From:   
Reseller Agent First Name:   
Reseller Agent Last Name:   
Reseller City:   
Reseller State / Province:  
Reseller Email:   
Reseller Phone:   
 
ADDITIONAL INFORMATION
Additional Comments:   
 
Promotion Code:   
 (Original Promotion Code must represent your actual purchase. Offer void where prohibited by law. Resellers of KODAK Products are excluded. Registering entitles you to receive the promotion stated. If a rebate check is involved, all obligation of Kodak will be discharged by issuing the check and mailing it to the address given by you. Kodak is not responsible for mail that is lost, mutilated or delayed. Please allow 60 days for delivery.)