Registration

Instructions

All fields with “*” must be completed and accurate for all valid claims
All product registrations must be made with all documentation submitted within 30 days of original invoice (with the doctor’s name or practice/facility name) Date to ensure all warranties are valid
Please fill in different item(s) in their separated associated column(s) and field(s)
Please read the Warranty section for details on purchased and free good(s) return and refund policy
AG Neovo reserved the right to reject and terminate any claim and promotion without prior notice

Product Registration Form

Profile

First Name *

Last Name *

Clinic Name *

Email *

Phone Number *

Street Address *

City *

State *

Zip code *

Dealer

Dealer's Name *

Original Invoice Number *

Purchased Date *

Purchased Model

Purchased Model # *Purchased Serial Number (SN) *Excluding symbol (ie -, / !)

Scan and attach complete original invoice *

Submitting format: PDF or JPG or PNG with maximum file size 1MB.

I have read and fully understood the contents. I agreed to all terms and conditions stated above. All confidential information is used solely for Product Registration purpose and will not be shared nor sold to anyone.

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