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Registration

Thank You For Purchasing A BatteryMINDer®

If you have not purchased your BatteryMINDer product DIRECTLY from www.BatteryMINDers.com (either online or phone), you may use this form to register your products online.

  • Customers who have purchased DIRECTLY from us are AUTOMATICALLY registered and should not register here.

If you have any questions, please click here to contact Customer Support.

 

REGISTER YOUR BATTERYMINDER

*REQUIRED FIELDS

 FIRST NAME*:
LAST NAME*:
EMAIL*:
STREET ADDRESS 1*:

STREET ADDRESS 2:
CITY*:
STATE*:
ZIP CODE*:
COUNTRY*:
PHONE NUMBER *:  
MODEL NUMBER*:
SERIAL NUMBER:
QUANTITY: 
WOULD YOU LIKE TO BE INFORMED OF NEW VDC PRODUCTS?*:YES: NO:  
PURCHASED FROM*:
DATE OF PURCHASE*: (mm/dd/yyyy)
HOW DO YOU PLAN TO USE THE PRODUCT*:
OCCUPATION:
WHAT INFLUENCED YOUR PURCHASE?*: 
OTHER APPLICATIONS FOR THE PRODUCT?*:YES: NO:  
USER'S AGE: 
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