Aztech New Media Corporation Warranty Registration
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Name: 	 (Mr./Ms.)____________________________________________________________

Address: _____________________________________________________________________

Company: _________________________ Position: _________________________________

				 _____________________________________________________________________

City: 	 ___________________ Prov./State: _____ PC/Zip: ______________________

Country: _____________________________________________________________________

Telephone: _____________ Fax: ________________ Internet: _____________________

Product to be registered ____________________ Purchase Date: _________________

Purpose for buying this product? _____________________________________________


Please put me on your mailing list for vip	 Where was this product purchased?
offers and new product announcements:
																						 _________________________________
Yes 					No
																						 _________________________________

Type of Computer: 			 Peripheral Devices:			Do you have Children?
PC: 										 Color Printer: 					Yes
MAC:										 Modem: 									No

Other(please specify) ________________________________________________________


Product Preferences:		 Please Grade This Product: 					Buyer 	User
Photo Images						 A (highest)									Male		_____ 	_____
Clip Art (line art) 		 B														Female	_____ 	_____
Video 									 C														Age 		_____ 	_____
Animation 							 D
Music/Sound Effects 		 F (lowest)


Other (please specify) _______________________________________________________


Comments:_____________________________________________________________________


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