Specifications

ACOMDATA PRODUCT REGISTRATION FORM

Cut along the dotted line, fold and seal the form in a number 10 envelope, and mail to:

AcomData 901 East Cedar Street Ontario, CA 91761

Name:

E-mail:

Company name:

Address:

City:

State/Prov: Zip/Postal Code:

Phone:

( )

Fax:

( )

Date of purchase (mm/dd/yy):

( / / )