Warranty Form

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Contact Details

Salutation

First Name

Last Name

Company Legal Name

Email Address

Primary Contact Number

Secondary Contact Number

Block/House number and Street Name

Unit Number

Building

Postal Code

Product Details

Place of Purchase

Date of Purchase

Product Model Number

Product Serial Number

Product Warranty PeriodNote: If there is any discrepancy with the warranty period offered, please contact our service hotline at +65 6766 8888 or email us at fxs.support@sgp.fujixerox.com

Invoice Number

Promotion Code If Any

I have read, understood and agree to the Terms & Conditions

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