WARRANTY FORM


PRODUCT DESCRIPTION: ____________________________________________

PRODUCT SERIAL NUMBER: _________________________________________

ORIGINAL DATE OF PURCHASE:______________________________________

DEALER PURCHASED FROM:__________________________________________


CUSTOMER INFORMATION

FIRST NAME:_____________________ LAST NAME:____________________

STREET ADDRESS: _________________CITY:_____________ STATE:_____

PHONE: _____-______-_________ ALT: _____-______-_________

E-MAIL ADDRESS: ________________________________________________

CUSTOMERS SIGNATURE

X________________________________________________________________

CUSTOMER PRINT

_________________________________________________________________

TODAYS DATE: _________________________


PLEASE MAKE SURE TO PRINT CLEARLY SO THAT WE GET ALL THE PROPER INFORMATION.YOU HAVE 30 DAYS FROM THE DATE OF RECEIVING SHIPMENT TO SEND IN WARRANTY PAPERWORK.

Send To:

Fiber Images
624 E Rancho Vista Blvd
Palmdale, CA 93550