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Warranty Quicklink:        
  Please complete this form to receive free technical support and update information. When finished, click on the Send Form button. If needed, consult our warranty policy. 

Name:       

Company:

Title:           

Address 1:

Address 2:

City:           

State/Province:   or Other:
Zip:    Country:
Telephone:           Fax:

Email address:

Purchase Date: 
      (mm/dd/yy) 
  Please send me information on extended warranty programs
 Product Information (Please refer to your warranty card.)
Light Pens Products
Product Model #: Serial #:
Product Model #: *Serial #:
Your answers are important to us. Please take a moment to complete this questionnaire.
 
1.  Product was purchased from:
FastPoint Direct
Mail Order
Retail
Included with System
Other

 
2.  Primary application program for product:
Internally Developed Commercially purchased
 
 
3.  Product will be used for software development?
Yes (for internal use only)
Yes (for commercial distribution)
No
I would like more information on your developer support services
 
4.  Product will be used primarily for:
Business use at office
Business use at home
Personal use
Point of Sale
Other

 
5.  Please enter any comments, questions, or suggestions here:
     
 
    

FastPoint Technologies, Inc. · 8381 Katella Avenue · Stanton, CA  90680
Tel: 800-962-3900      Fax: 714-995-3989      Email: info@fastpoint.com