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WARRANTY

To activate your AEROSURE MEDIC warranty, register online at
www.warranty.actegy.com or complete the form below and
Customer Details
Mr/Mrs/Ms/Miss
House Number
Telephone number
Email Address
Sex:
Male
Date of purchase
your device from?
Q. What is your main ailment or condition that you're using the device for?
Device Details
Your AEROSURE MEDIC LOT Number
(Device LOT number can be found on the box and base of handle)
How did you find out about your AEROSURE MEDIC product?
TV
Newspaper / Magazine
Privacy & Security – Collection and use of personal information:
All personal information provided by this card, such as email, contact name or address is done so on a voluntary basis. Actegy Ltd uses the
information explicitly only as stated, i.e. to register your device, to maintain your customer account and to send relevant mail or emails about
Actegy's latest offers.
If you do not wish to receive any offers or information from Actegy Ltd by mail or phone, please tick here
If you would like to receive offers and information from Actegy Ltd by email, please tick here
From time to time Actegy Ltd may share your information with carefully selected third parties to bring you relevant offers and information.
If you do not wish to receive third party offers, please tick here
2456_IFU_01_780330.indd 56
REGISTRATION FORM
mail it to your country location office.
Initials
Surname
Address
Female
Pharmacy / Store
Postal Code
Year of Birth
Q. Please specify where you purchased
Catalogue
EN
Online
Friend
21/04/2015 09:24

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