Dr. Brown's Product Warranty Registration Form 產品保用登記
Please fill in the following information within 14 day of purchase. 請於購買日期14天內,填妥以下資料。
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Email *
Model Number 產品型號: *
承上題,如選擇其他 ,請註明產品型號或名稱:   
Customer Name 顧客姓名: *
Tel Number 電話號碼: *
Retail Shop 商舖名稱: *
Warranty No. / Serial No. 保用証編號 / 機身編號 (如有)
Receipt Number (if any) 發票號碼 (如有):
Purchase Date 購買日期: *
MM
/
DD
/
YYYY
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