FUJI XEROX

Online Warranty Registration Form

* indicates a required field

CONTACT DETAILS

2. Title : * Dr Miss Mr Mrs Ms
3. First Name : *
4. Last Name : * : *
5. Company Legal Name :
6. Company Trading Name :
7. Company ABN :
8. Job Title :
9. Email : *
10. Fax :
11. Telephone :*
12. Address : *
    
13. Suburb or RD No. : *
14. Other State
15. Town or City : *
16. Postcode : *

PRODUCT DETAILS

1. Reseller name* Please Select Aarque Graphics Auckland Aarque Graphics - Wellington Aarque Graphics - Hamilton Aarque Graphics - Palmerston North Aarque Graphics - Christchurch Aarque Graphics Dunedin Abtron Enterprises Limited Acquire Co NZ Advantage Computer Solutions Business Distributors Ltd Computer Upgrades 2000 Limited Corporate Consumables - Wellington Corporate Consumables - Auckland Corporate Consumables - Christchurch Corporate Express - NZ Elive Limited Fuji Xerox New Zealand Fuszion Pty Ltd ImageText Publishing Magnum Mac Ltd Net-X IT OEM Auckland OEM Print Solutions Ltd Wellington OfficeMax - NZ Shreeji Office Products Software Shop Ltd Supplylink Ubertec Ltd Other
2. Where are they located? :
3. Product Model : * -- Black & White Printers -- DocuPrint 180 DocuPrint 181 DocuPrint 203 A DocuPrint 204 A DocuPrint 205/305 DocuPrint 2065 DocuPrint 210 DocuPrint 211 DocuPrint 240A DocuPrint 255 DocuPrint 3055 DocuPrint 3105 DocuPrint 340A DocuPrint P1210 DocuPrint P205b Phaser 3110 Phaser 3115 Phaser 3116 Phaser 3121 Phaser 3124 Phaser 3125/N Phaser 3130 Phaser 3160N Phaser 3210 Phaser 3400 Phaser 3428 Phaser 3435DN Phaser 360 Phaser 4400 Phaser 4600 Phaser 4620 Phaser 5400 Phaser 550 Phaser 5500 Phaser 5550 Phaser 6350 -- Colour Printers -- ColorQube 8570 ColorQube 8870 DocuPrint 2000 DocuPrint 2010 DocuPrint 2050 DocuPrint C1110 DocuPrint C1110B DocuPrint C1618 DocuPrint C2100 DocuPrint C2120 DocuPrint C2200 DocuPrint C2255 DocuPrint C2428 Docuprint C2535A DocuPrint C3055DX DocuPrint C3210DX DocuPrint C3300DX DocuPrint C4350 DocuPrint C5005 d DocuPrint C525 A DocuPrint C621 DocuPrint C831 DocuPrint CP105b DocuPrint CP205 DocuPrint CP205w DocuPrint CP305 d Phaser 1235 Phaser 2135 Phaser 340/350/360 Phaser 540 Phaser 560 Phaser 6200 Phaser 6250 Phaser 6360 Phaser 6700 Phaser 7300 Phaser 740 Phaser 750 Phaser 7700 Phaser 7750 Phaser 7760 Phaser 7800 Phaser 790 Phaser 8200 Phaser 840 Phaser 8400 Phaser 850 Phaser 8500/8550 Phaser 8560 Phaser 860 -- Multifunction Printers -- DocuPrint C1190FS DocuPrint C2090 FS DocuPrint C3290 FS DocuPrint CM205 fw DocuPrint CM205b DocuPrint CM305 df DocuPrint CM505 DocuPrint M205 fw DocuPrint M205b Phaser 3100MFP Phaser 3200MFP Phaser 8560MFP WorkCentre 220 WorkCentre 222 WorkCentre 228 WorkCentre 3119 WorkCentre 3210 WorkCentre 3220 WorkCentre 3550 WorkCentre 4250 WorkCentre C2424 WorkCentre PE220 -- Colour Network Scanners -- DocuScan C3200A DocuScan C4250
4. If your Product is not in the list above, please add it here
5. Colour of printer : * Please Select... Black Light Quartz Pink
6. Serial Number : *
   Click here for the serial number location
7. Invoice Number :
8. Date purchased :

LOCATION OF PRINTER

What is the physical location of this printer? (only if different to the contact address details)

Tick here if the printer location is the same as the contact address details

1. Telephone : *
2. Address : *
   
3. Suburb or RD No. : *
4. Town or City : *
5. Postcode : (Lookup)*

Yes, I would like to receive periodic information from Fuji Xerox Printers