Ezscreen RxKiosk Warranty Registration

Warranty Registration

Let ezscreen® reliability work for you. Register today to activate your equipment protection policy.

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First Name

Last Name

Job Title

Company Name

Mailing Address

Mailing Address (continued)

City

State/Province

Zip / Postal Code

Country

Phone

Fax

E-mail Address

Send you E-mail updates on Ezscreen products, software and services?

Your organization is:

Purchased Product Information:

Ezscreen Model Purchased

Invoice#

Serial #

For RxKiosk Products You Can Find This Etched On The Rear Of The Unit

Date Purchased

Purchased From

City

State/Province

Country

United States
Canada

How did you first hear about Ezscreen?


	Other

What operating systems are used with and/or on the product?
(Check all that apply)

	Windows 95	Windows 2000
	Windows 98	Mac OS
	Windows Me	Red Hat Linux
	Windows XP	Other Linux
	Windows NT
Other

Decision to purchase this product was based on?
(Check all that apply)

	Dealer Recommendation	Review/editorial
	Advertising	Company/Dept. standard
	Relative/Friend/Co-worker	Equipment Protection Policy
	PC Manufacturer	Company Reputation
	Price	Product Availability
	Product features/specifications
Other

Which of the following features were important to you when choosing this Ezscreen product?
(Check all that apply)

	Appearance/Shape
	Software Feature
	Ergonomic design
	Software certification
	Price
	Reliability
	Size/Weight
Other

From what type of store did you purchase this Ezscreen product?


	Other

Where will this Ezscreen product be used?


	Other

Which best describes your company's primary activity at this location?


	Other

How many employees are at your company?

Which one of the following best describes the job or position title of the person who decided to purchase this product?


	Other

How are we doing?
Please provide comments on Ezscreen products and/or service. If you have a question that requires a response, please e-mail to: tech@ezscreen.com