1. Customer Information:

Company name*:

Title*

  Select Mr. Mrs. Miss Ms. Dr. Sir Prof.

First name*:

Last name*:

Job Title*:

Address 1*:

Address 2:

Town/ City*:

County:

Phone*:

Fax:

Mobile:

E-mail*:

Function Area*:

  Select Customer Service IS/Technology Logistics Management Marketing Sales Operations Purchasing Store Management Warehouse Management Other, Please specify Other:

Industry/ Market*:

  Select Automotive Aerospace Chemicals Distribution Education/ Library Entertainment Government Healthcare Hospitality Logistics Manufacturing Postal/ Mail/ Freight Retail Security Supply Chain System Integration Transportation Wholesale Other, Please specify Other:

Product Interest*:

  Select Accessories Carbon Ribbons CL400e series CL600e series CT400 CX series DR300 HT200e Labels M10e M5900RVe M84Pro MB400 Media RFID S series XL400 series Other, Please specify Other:

2. Product Information:

Model*:

Serial Number*:

Date Purchased*: (dd/mm/yy)

You can register all printers of the same model purchased on this same date by completing following 2 questions:

(i) Please enter the Serial numbers of all the products. Use comma to separate them:

(ii) Where did you purchase the products?*:

City/ Town/ County:

For what purpose is the printer used for?*

Other, Please specify

What other products so you purchase (in your company)?

Barcode printers

Do you use SATO consumables?