Product Registration

Please provide the following information as completely as you can.

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Country

Care Kit Purchase Information

KODAK Care Kit Serial Number (if applicable)

Product Purchase Information

Product Model

Product Serial Number

Purchase Date

Installed at Location

First Name

Last Name

Company Name

Address

Address 2

City

State

Province

Postal Code

Phone

Billing Information

Only required if different from installed location.

First Name

Last Name

Country

Address

Address 2

City

State/Province

Postal Code

Sales Information

Company Purchased From

City

Country

State/Province

Additional Information

Comments

Promotional Code

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