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This form is for Product Registration via the Internet. If you have any questions as to how this information is used, please feel free to contact Plustek USA's Sales department at

Note:  Keep your receipt in your records.

Title:
First/Last Name: *required
Occupation:
Company Name:
Address 1: *required
Address 2:
City: *required
State/Province: *required
Country: *required
Zip Code: *required
Telephone: *required
Fax:
E-mail: *required
Scanner Model: *required
Scanner Serial #: Where is the Serial #?
Purchased From: *required
Purchase Date: *required
How did you learn about this product?
Comments:
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