warranty registration
Thank you for purchasing TORBAL scales and Balances. Please take a moment to register your warranty by completing the form below. Warranty registration must be completed to validate the warranty for your scale or balance. We appreciate the time you take to complete this registration - all the information provided will help us to better serve you in the future.
warranty
1. Customer Information
* First Name :
* Last Name :
Title : Mr. Mrs. Ms. Miss Dr.
Company :
* Address :
* City :
* State/Province :
* Zip :
* Telephone Number :
* Email :
2. Product Information
* Model Number :
* Serial Number :
* Date of Purchase :
* Purchase Price :
* Where Purchased ?
3. Information about your company
* Your Job Position :
* Select the options that best describes the industry of your company :
Manufacturing
Research Laboratory
Hospital / Clinic
Pharmacy
Government Facility
Educational Facility
Retail
Other ( Please Specify )
* Weighing equipment used at your facility (Select all that apply) :
Analytical Balances
Precision Balances
High Capacity Scales
Moisture Analyzery
Micro Balances
Other ( Please Specify )
Please Rate: Excellent Good Fair
Price
Product
Initial Setup
Appearance As Received
Enclosed Product Literature
Start-Up Operation
4. Customer Satisfaction
Additional Comments :