Registration Form

First Name	Last Name
Address #1
Address #2
City:	State: Zip:
Country:
Product	ScanMaster 1 ScanMaster 2 LaserPrint 1000 LaserPrint 5000 Print/Scan 150 Print/Scan 250
Date Purchased
Serial #
Used for	Home Business Government Education Other
System (check all that apply)	Windows Macintosh UNIX Other
Comments?:	Comments
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