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PRODUCT REGISTRATION

Providing this information to Chamberlain allows for the best possible product support.

  1. Consumer Information:  
     
    * First Name Initial * Last Name
           
    * City State
    2.  
  2. Purchased From:  
     
    * Company Name
       
    * City State
    3.  
  3. Installed By:  
     
    * Company Name
       
    * City State
    4.  
  4. Date of Installation: 
    5.  
  5. Application Type:
     
    Residential Commercial
    6.  
  6. Number of cars at this location:
    7.  
  7. A) Model Number(s) B) Serial Number(s)  





    8.  
  8. What factors most influenced your decision to purchase this product?
    (check up to three)
     
    Price
    Style/Appearance
    Recommended By Installer
    Brand Name Reputation
    Other
    9.  
  9. How many remote controls are used with this product?
    10.  
    To submit this registration, press this button:
    To clear the form, press this button:


    Failure to submit this registration will not diminish your warranty rights.

 
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