FUJI XEROX

Product Warranty Registration Form

denotes mandatory fields

CONTACT DETAILS

• Title:
  Dr Miss Mr Mrs Ms
• First Name:
  
• Last Name:
  
• Company Legal Name :
• Company Trading Name :
• Company ABN :
• Job Title :
• Email:
  
• Fax:
• Telephone:
  
• Address:
  
  
• Suburb:
  
• State:
  Please Select New South Wales Queensland Victoria South Australia Western Australia Australian Capital Territory Northern Territory Tasmania
• Other State
• Postcode:
  
• Promotional Code:

PRODUCT DETAILS

• Reseller Name:
  Please Select AIM Digital Imaging AISH Solutions Artref Australian Printer Services Australian Managed Print Services (VIC) Cartridge World Innisfail Cartridge World Thornlie Cartridge World Bull Creek Cartridge World Capalaba Cartridge World - Browns Plains Cartridge World Parramatta (NSW Head Office) Cartridge World Werribee Cartridge World Browns Plains Cartridge World Ashgrove Chilli Print Computers Now - VIC Crown Business Systems Designwyse Digital Graphic Supplies Downs Office Equipment East West Print and Data Entire IT eStore Famill IT Fuji Xerox Business Centre Tasmania Fuji Xerox Business Centre - Batemans Bay Fuji Xerox Business Centre Northern Rivers Fuji Xerox Business Centre Sydney Fuji Xerox Business Centre Townsville Fuji Xerox Business Centre Sunshine Coast Fuji Xerox Business Centre Cairns Fuji Xerox Business Centre NT Fuji Xerox Business Centre Toowoomba Inkman Kingsway Technology Leading Edge Computers Katherine Maxitech OEM Supplies Office Choice Belconnen Office Choice City Stationary Office Choice Select Office Supplies Office Choice Illawarra Office Choice Blue Mountains Orion Print Management Panaquip Business Centre Printcom Rapid Office Choice Scorpion Technology Computers - Clayton Store Scorpion Technology Computers - Malvern Store Scorpion Technology Computers - Rowville Store Scorpion Technology Computers - South Melbourne Store Smartprint Fleet Management SOS Office Equipment Tang Computers Technotronics Business Systems The Cartridge Warehouse The Document Business Centre Wollongong The Xerox Shop Mid North Coast Think Office Technology - Birtinya Think Office Technology - Townsville Think Office Technology - Gladstone Think Office Technology - Mackay Think Office Technology - Cairns Think Office Technology - Birtinya (Corporate) Think Office Technology - Toowoomba This Solution Ultimate Design Graphics - VIC Ultimate Design Graphics - QLD Viatek Western Victoria - Ballarat Viatek Central Victoria - Bendigo Viatek New South Wales - Central Coast Viatek Central West NSW - Dubbo Viatek Western Victoria - Geelong Viatek New South Wales - Maryville Viatek Central Victoria - Mildura Viatek Central West NSW - Orange Viatek Central Victoria - Shepparton Viatek New South Wales - Tamworth Viatek South East - Warragul Viatek Southern - Albury Viatek Southern - Wagga Wagga Viatek Western Victoria - Warrnambool Viatek Western Victoria - Wangaratta Vital Peripherals X Central XBC Business Centre Other
• Reseller Telephone:
  
• Where are they located? :
• Product Model:
  -- Black & White Printers -- DocuPrint 180 DocuPrint 181 DocuPrint 202 DocuPrint 203 A DocuPrint 204 A DocuPrint 205/305 DocuPrint 210 DocuPrint 211 DocuPrint 240A DocuPrint 255 DocuPrint 3055 DocuPrint 3105 DocuPrint 340A DocuPrint P105b DocuPrint P1210 DocuPrint P158b DocuPrint P205b DocuPrint P255 dw DocuPrint P255d DocuPrint P355 d DocuPrint P355 db DocuPrint P455 d Phaser 3110 Phaser 3115 Phaser 3116 Phaser 3121 Phaser 3124 Phaser 3125/N Phaser 3130 Phaser 3155 Phaser 3160N Phaser 3210 Phaser 3400 Phaser 3428 Phaser 3435DN Phaser 360 Phaser 4400 Phaser 4510 Phaser 4600 Phaser 4620 Phaser 5400 Phaser 550 Phaser 5500 Phaser 5550 -- Colour Printers -- ColorQube 8570 ColorQube 8870 DocuPrint 2000 DocuPrint 2010 DocuPrint 2050 DocuPrint C1110 DocuPrint C1110B DocuPrint C1618 DocuPrint C2100 DocuPrint C2120 DocuPrint C2200 DocuPrint C2255 DocuPrint C2428 Docuprint C2535A DocuPrint C3055DX DocuPrint C3210DX DocuPrint C3300DX DocuPrint C4350 DocuPrint C5005 d DocuPrint C525 A DocuPrint C621 DocuPrint C831 DocuPrint CP105b DocuPrint CP205 DocuPrint CP205w DocuPrint CP305 d DocuPrint CP405 d Phaser 1235 Phaser 2135 Phaser 340/350/360 Phaser 540 Phaser 560 Phaser 6200 Phaser 6250 Phaser 6350 Phaser 6360 Phaser 6700 Phaser 7300 Phaser 740 Phaser 750 Phaser 7700 Phaser 7750 Phaser 7760 Phaser 7800 Phaser 790 Phaser 8200 Phaser 840 Phaser 8400 Phaser 850 Phaser 8500/8550 Phaser 8560 Phaser 860 -- Multifunction Printers -- ColorQube 8900 DocuPrint C1190FS DocuPrint C2090 FS DocuPrint C3290 FS DocuPrint CM205 f DocuPrint CM205 fw DocuPrint CM205b DocuPrint CM305 df DocuPrint CM405 df DocuPrint CM505 DocuPrint M105 ab DocuPrint M105 f DocuPrint M105b DocuPrint M158ab DocuPrint M158b DocuPrint M158f DocuPrint M205 f DocuPrint M205 fw DocuPrint M205b DocuPrint M255 df DocuPrint M255 z DocuPrint M355 df Phaser 3100MFP Phaser 3200MFP Phaser 8560MFP WorkCentre 220 WorkCentre 222 WorkCentre 228 WorkCentre 3119 WorkCentre 3210 WorkCentre 3220 WorkCentre 3550 WorkCentre 4150 WorkCentre 4250 WorkCentre C2424 WorkCentre PE220 -- Colour Network Scanners -- DocuScan C3200A DocuScan C4250
• If your Product is not in the list above, please add it here
• Colour of printer : *
  Please Select... Black Light Quartz Pink
• Serial Number:
  
  Click here for the serial number location
• Invoice Number:
  
• Date purchased :
  

LOCATION OF PRINTER

What is the physical location of this printer? (only if different to the contact address details)

Tick here if the printer location is the same as the contact address details

• Telephone:
  
• Address:
  
  
• Suburb:
  
• State:
  Please Select New South Wales Queensland Victoria South Australia Western Australia Australian Capital Territory Northern Territory Tasmania
• Postcode:
  

Yes, I would like to receive periodic information from Fuji Xerox Printers

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