Lavina WARRANTY REGISTRATION

WARRANTY REGISTRATION

Complete and submit this form within 30 days from the date of purchase. The registration is invalid without the machine serial number.
Customer Information
Name*

First NameLast Name
Company Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Machine Information
LAVINA Model*
Serial Number*
Purchase Date*

MonthDayYear
Date
Should be Empty:

WARRANTY REGISTRATION