Warranty Form Current Start Preview Complete Indicates required field Please read before filling in × Information message Please make sure of the following: This site of the inquiry form is managed and operated by our company. As our return E-mail is created only for responding to your inquiry, please do not use the information contained for other purposes. We may not be able to meet your request for a response by a specified date or in the case of urgent inquiries. Contact Details Salutation - Select -DrMissMrMrsMs First name / Last name First name Last name Company Legal Name Job Title E-mail Confirm your E-mail address by typing the same E-mail address below. Confirm email Fax Date of Birth Home Office Mobile Block/House number and Street Name *Please indicate NA if Not Applicable Unit Number *Please indicate NA if Not Applicable Building *Please indicate NA if Not Applicable City *Please indicate NA if Not Applicable Province Zip Code Product Details Dealer - None -BIG A . AUTOMATION Ltd.,Part,CHIANGRAI TECHNOCOMบอส คอมพิวเทค แอนด์ เซอร์วิสหลิมaaเจริญ148 Computer Supplies Co., Ltd.9COMAK Office Supply Co.,Ltd.ALL IN ONE TECHNOLOGY AND SERVICEAP COMPUTER NETWORK SHOPAR TRADING COMPUTERASSIST COMPUTER SERVICE LTD.,PARTAtidtaya Supply Group Ltd.,Part.B.D. COMPUTER CO.,LTDBangpli Printing Co.,Ltd.BEST TECH OA Co.,LtdBest book centerBest Technology serviceBig Telecom Co.,Ltd.BOONLORM TECHNIC Ltd.,Part.C.A.Trading Co.,Ltd.CAMPUS COMPUTERChaiyaphum Copy ServiceCHAMNANMEDCHAROENPITTAYA OA CENTERCHATSIAM COMPUTER Ltd.,PartCHI CHANG COMPUTER (THAILAND) CO ., LTD.COL Public Company Limited (Office Mate)Computer Land O.A. Co., Ltd.Convergent Plus Co.,Ltd.CP Computer Service ShopCUS (1999) Ltd.,Part.DATA OA SERVICE 2012DENCHAI TECHDi-Verse Copier (Thailand)Digital Office SolutionDiscovery Supply Co., Ltd.DOCTORPC 2004DOUBLE CLICK COMPUTEREASY COMPUTECH Ltd.,PartEnterprise Network TechnologyFirecom Network Co.,Ltd.First inter business Co., Ltd.Fotika Co., Ltd.Friend OA Center Co.,Ltd.FUTURE SMARTGOLDPC NETWORK CO .,LTD.GOODSPEED COMPUTERGrand Marine Supply Co., Ltd.Green Octopus Co.,LtdHitechcomputerIM consultant Co.,Ltd.I.J Siam Co.,Ltd.I.T.Office EquipmentID SupplyIT CITY Public Company LimitedIT Smart Store Ltd.,PartITCENTERITSMART SERVICE CO.,LTDJADI ADVANCE AND SOLUTION LTD.,PART.Jiant Blues SystemK.W.INFORMATION TECHNOLOGY LTD.,PART.Kaveekit supply and Service Limited PartnershipKC And Clean CO.,LTD.KhonKaen Klungnanatham Co.,LtdKlaeng ComputerKODUNGCOM Ltd., PartKrung thong computer Co.,Ltd.KSCS International ComputerKVCCOMPUTERLPcomputerLYRECO (THAILAND) CO.,LTD.M.R.T. INTERTRADE CO., LTDMANDACOMPUTER SHOPManitwittaya CO.,LTD.Mayday book dot com Co.,Ltd.MBA International Co., Ltd.MENGRAI SUPPLY SERVICE LTD.,PART.Metro Systems Corporation Public Co.,Ltd.MGM International Co., Ltd.Mitichai Ltd.,Part.MOREE COMPUTERMR. KIM COMPUTER LTD.,PART.Muangya office products Co.,Ltd.N SOLUTION CENTERNAPHAPHAN COMPLEXNARACOPY AND SERVICENARAINKNNP Center Co.,Ltd.NONGBUA IT Ltd., PartOffice care coporation Co.,Ltd.OSKA COMP Co.,Ltd.P WATTANA OA .,LTDP.S.N. Center Co.,LtdPaisarn Wittatya Ltd.,Part.PATCHARAKORN BUSINESS Ltd.,PartPC MAKER Co.,Ltd.Phairuch Computer and OA CommunicationPhetburi Copy CenterPhetdotcomPIYA SERVICE CENTER LTD.,PARTPlai System Co.,Ltd.Pongpaibol Hi-techPOUCH.COMPPY EnterprisePR Computer CO.,LTD.PRASAMUTR TYPEWRITER LTD,.PART.Pro Medias SupplyPS COMTECH (2008)RP CompsystemRanong OnlineRayong OA And ServiceRUAM MIT SAPPHASINKHARUNGSIN DOTCOM GROUPS TECHNIC CENTER PART., LTD.S.K.OA CENTER CO.,LTD.Sahakol OA Ltd.,Part.SD ComputerSD Phuket ComputerSiam koonanunSIAMCOM PLUS LTD.,PART.SiammicrosofttechSIAMNAKARINSK-1 System Company LimitedSmart O.A. Sales and Service Ltd.,Part.SMARTINK CHIANGMAI CO .,LTD.Smile IT Co.,Ltd.SPA COMPUTERSPIRIT ITSR COMTECHSri Thip System Ltd., Part.STAR O.A. AND COMMUNICATION CO.,LTD.SU OutsorceSum Technology (Thailand) Co.,Ltd.Supkavee OA center Co.,Ltd.SURASRIKARUPUNT-Dai Computer OA (Thailand)Co,Ltd.Taifah motor comter Co.,Ltd.TAKCOMPUTER .,LTDTAKSIN INFOTECHTG computerThada Copy Supply LPThongchai OA sales and service Ltd.,Part.TIENCHOKTop Computer Supply ServiceTRANG SUPPLYTrat InternetTUEK CHAROENCOMP NETWORK CENTER CO.,LTD.Ubon ifec Ltd.,Part.Ubon central sport Ltd.,Part.Unique Business Center Co., Ltd.V.P. Commercial and Supply Ltd.,PartVARARAT I.T Ltd., PartVatcharacom Network CO.,LTD.VIRACHA COMPUMATE CO.,LTD.Wattana SystemationWINWIN COMPUTERSUPPLY AND SERVICEWIZ VENDOR CO.,LTD.WORLDWIDE TECHNOLOGY COMPUTER LIMITED PARTNERSHIPX Computer ShopYak ITOther Please specify *Note: For dealers not listed, please select "Other" and indicate in the text box provided below. Date Purchased Invoice Number Product Model - Select -DocuPrint 3055DocuPrint 3105DocuPrint P115 wDocuPrint P225 dDocuPrint P235dDocuPrint P265 dwDocuPrint P355 dDocuPrint P365 dDocuPrint P455dPhaser4622DocuMate 3125DocuMate 3220DocuMate 4440DocuMate 4799DocuMate 4830DocuMate 6440DocuCentre S2011DocuCentre S2320DocuCentre S2520DocuCentre SC2020DocuPrint CM115WDocuPrint CM225fwDocuPrint CM315 zDocuPrint CM405dfDocuPrint M115w / M115zDocuPrint M225zDocuPrint M235dwDocuPrint M235zDocuPrint M265 zDocuPrint M355 dfDocuPrint C2255DocuPrint C5005dDocuPrint CP115WDocuPrint CP116WDocuPrint CP225WDocuPrint CP305 dDocuPrint CP315 dwDocuPrint CP405dPhaser7100 Warranty Period is Note: if there is any discrepancy with the warranty period offered, please contact service hotline at 0-2600-8400. Serial Number Add another product Kindly provide Product Model, Warranty Period, Serial number I have read, understood and agree to the Terms and Conditions of the warranty. Yes, please keep me informed of FUJIFILM Business Innovation printers' contests, promotions and latest developments. × Information message Handling of personal information Please be advised that we will use your personal information, such as your name and email address, which you may provide via this form in order to serve you by sending our response to your inquiry. We may also have occasion to forward your personal information to our affiliated companies and/or distributors of our products and/or services in order to serve you quickly and efficiently. If you agree, please check the box below. I have read and agreed to the Privacy Policy. *In order to submit, you must agree to the Privacy Policy.
