To register your new Burton products, complete the form below and submit to Burton.

Complete and submit this information within 45 days of purchase to validate your warranty and receive 1 FREE bulb for product purchased.
 


Product Information
Model Number:

Serial Number:

Purchase Date:

 

 

 

 

 

 

 

 

 
Customer Information
Name:
Company:
Title:
Address:
Phone:
Fax:
E-mail:
 
Is this facility a (please check one):
Physician's Office
Specialty:
Department:
Dealer
City & State:
 
Did you order this product(s) for:
Replacement
 
Which factors influenced your decision to buy this product:
Quality  
Performance  
Dealer Recommended  
Other
 
Did you compare this product to other competitive units?:
No  
Yes Which ones?

 












 

 

       
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