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Product Registration

Please provide the following information as completely as you can.
* - required fields

CARE KIT PURCHASE INFORMATION

KODAK Care Kit Serial Number (if applicable)

PRODUCT PURCHASE INFORMATION

Product Model

Product Serial Number

Purchase DateUse the calendar to pick a date, otherwise your data will not process correctly.

INSTALLED AT LOCATION

First Name

Last Name

Company Name

Address 1

Address 2

City

State/Province

Zip/Postal Code

EmailThis email address will receive an automatic confirmation email with the submitted form data.

Phone

Country

BILLING INFORMATION (Fill out only if different from Installed Location)

First Name

Last Name

Address 1

Address 2

City

State/Province

SALES INFORMATION

Company Purchased From

City

State/Province

ADDITIONAL INFORMATION

Comments

Promo Code

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