Warranty Registration

                Warranty Information:
               (Lucky Draw period from 1st December 2007 till 8th January 2008
                Purchases after 8th January 2008 will not enter the Lucky Draw)

	Personal Information
	Title*
	Name*
	Occupation*

	Contact Information
	Home*
	Office*
	Mobile*
	Email*
	ResidentialAddress*
	Postal Code *

	Purchase Information
	Model Number*
	Serial Number *
	Purchase From *
	Date of Purchase *

	Model Number
	Serial Number
	Purchase From
	Date of Purchase

	Model Number
	Serial Number
	Purchase From
	Date of Purchase

	Comments
	I agree with the terms and conditions for the Lucky Draw
	I agree with the terms and conditions for warranty

       Contact Information
         809 French Road #04-162
         Kitchener Complex,  Singapore 200809
         Tel : 6297 2085    Fax : 6491 1077
         Email : buffalo@blumm.com

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