Xerox DocuMate European Extended Warranty Registration

Xerox® Scanners - European Extended Warranty Registration

Please take a few moments to complete this form.

Purchase Date*

Type of Warranty Purchased*

Advance Exchange On-site NBD On-site 4 Hour Response

Other:

Number of Years of Coverage Purchased*

Please enter the serial number for your scanner*

This will be located on a panel underneath your scanner

Select your scanner*

Name*

First Name

Last Name

Company Name*

If you are not a company please put enter Not applicable.

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Phone*

Email*

Proof of Purchase Upload*

No File Chosen

File uploads may not work on some mobile devices.

Please upload you invoice from the reseller - This can be JPG, BMP, PDF, DOC or XLS

Warranty Terms and Conditions

I agree to the Terms and conditions

Full terms and condition can be found on www.xeroxscanners.com

Marketing

Special Offers New Product Information

We value your security and your details will never be passed on to 3rd parties. If you would like to receive information from us, please ensure you tick the relevant boxes.

Confirmation Page

First Name: {$99087124 Name} {$99087124-first Name}

Last Name: {$99087124-last Name}

Address 1: {$99087126 Address}

Telephone Number: {$99087127 Phone}

Email Address: {$99087128 Email}

Scanner Model: {$99087129 Select List}

Scanner serial number: {$99087130 Please enter the serial number for your scanner}

Warranty Type: {$99087131 Warranty Type}

Please wait a few moments while your proof of purchase is uploaded. You will be taken to an acknowledgement page once this is done.