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Thank you for purchasing one of the finest vision, therapy or sanitizing
products on the market. This Warranty Registration MUST be
completed and mailed in a timely manner in order for your warranty to
be effective. Or you can register online at www.verilux.com/warranty.
Name ________________________________________________________
Address ______________________________________________________
______________________________________________________________
______________________________________________________________
Phone Number _______________________________________________
Email Address: _______________________________________________
Model # ______________________________________________________
Date of Purchase (Month/Day/Year) ____________________________
Warranty Registration
Please cut out form and send to:
VERILUX INC
PO BOX 451006
OMAHA NE 68145-5006
Or register online at www.verilux.com/warranty
Cut Along Dashed Line
