
Warranty information
and customer survey
for VIDAR film digitizers
Instructions:
1. Cut along dotted line at left.
2. Fill in.
3. Make a copy for your records.
4. E-mail or fax to VIDAR.
460 Spring Park Place
Herndon, VA 20170 USA
Phone: (703) 471-7070 U Fax: (703) 471-7665
E-mail: medtech@vidar.com
Warranty information
Date ___________________________
System integrator information
System integrator administrative contact
Name Title
Company name Telephone no.
E-mail address Fax no.
System integrator technical contact
Name Title
Company name Telephone no.
E-mail address Fax no.
Shipping information
Company name
Street address
City State Postal code
Country Telephone no. Fax no.
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