OpticGard
12718 Schabarum Ave Irwindale, CA 91706
sales@opticgard.com
www.opticgard.com
(626) 8690721
Please fill out the following form to register for your warranty coverage.
Please note that this information will only be used by OpticGard ONLY.
Customer Details:
Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
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Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
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Confirmation Email
example@example.com
Purchasing Information
Purchasing Channel
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Ebay, Amazon, Opticgard Website, etc
Invoice Number
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Purchasing Date
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Day
Year
Date
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