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Warranty Registration

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* Denotes required fields for warranty registration.

1. PRODUCT INFORMATION

Model *
Serial Number *
Date of Purchase (yyyy-mm-dd) *

2. CUSTOMER INFORMATION

Company *
Address *
Telephone *
Fax
Email *

3. NAME OF ESCO DISTRIBUTOR

Contact *
Company *
Country *

4. Have you been using other brands before Esco ? Yes     No

If yes, please kindly tell us the brands that you have been using *

5. Do you have any complaints or suggestions for Esco product ? Yes     No

If yes, please state your comments

6. Please rate your opinion on the following subjects accordingly.

If you think Esco has done a good job on the subject, you may give it a score of 5. If you think Esco still has a long way to go to achieve customer expectation on the subject, you may give it a score of 1. You can also give a score between 1 and 5 to show your opinion.
 Poor ----------------------------- Good
Price 1     2     3     4     5
On-time delivery 1     2     3     4     5
Service response 1     2     3     4     5
Physical appearance/design 1     2     3     4     5
Build quality 1     2     3     4     5
Product reliability 1     2     3     4     5
Product documentation 1     2     3     4     5
Product packaging 1     2     3     4     5
Ergonomics 1     2     3     4     5
Ease of use 1     2     3     4     5
Brand recognition 1     2     3     4     5

7. Please check if you want to be included in Esco mailing list.

Failure to submit this registration will not diminish your warranty rights.
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