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Product Registration

Corporate Headquarters
Briggs Healthcare
1931 Norman Drive
Waukegan, IL 60085

Phone
1-800-526-4753

Fax
1-800-479-7968

Thank you for purchasing a Briggs Healthcare product. By filling out this Product Registration form, we can more effectively and efficiently assist you.

Your information will be kept private and never shared with anyone outside of this company.

Warranty registration is completely voluntary. Failure to complete this form will not void your product warranty.

 
Please complete all the information marked below in red.  
   
First Name:
Last Name:
Email:
Address 1:
Address 2:
City:
State:
Zip:
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Country:
 
Product Name:
Model Number:
Lot Number: (info)
Serial Number:
Purchased From:
Purchase Date:
User Informaton (optional)
Age:

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