Visolux Digital HD Registration

Visolux Digital HD Registration:

Complete the registration form below and get a FREE 6-month extension on your warranty*!

To get your FREE 6-month warranty extension and receive free software updates, please complete the form below. Once you submit your information, you will receive an email confirmation.

(*This product must be registered within 6 months of purchase to qualify.)

First Name*	Last Name*

Street*


City*	State*


Postal Code*	Country*

Email Address*

Serial Number*	Date of Purchase*

Place of Purchase*

Name of Eye Doctor