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OnlineTemperature Monitoring Solution
Aids in 21 CFR Part 11 Compliance

74100 Van Dyke, Bruce Twp., MI
48065 U.S.A.
Toll Free U.S.A. Only: 1-800-523-0072
Phone: (586)-331-2600
Fax: (586)-331-2588

Custom BioGenic Systems Product Warranty Registration

Equipment Registration / Warranty
Thank you for purchasing a Custom Biogenic Systems Product.
Your new equipment is a wise investment, and completing the
Equipment Registration Form is an important step in protecting
your investment.

First Name:* Last Name:*
Facility: Address:
City: State:
Zip Code: Email:*
Phone Number: Alternate Email:
Are you interested in receiving future email communications on new products, promotions andĀ  other product news fromĀ 
Custom Biogenic Systems?


      Serial Number:*
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1. Did you receive your equipment on time?
2. Are you pleased with the quality of your equipment?
3. Are you pleased with the equipment installation and start-up?
4. Is the user manual easy to understand?
5. Would you recommend this equipment to a colleague?
6. Are you a new customer?
7. If a new customer, how did you find us?
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  Additional Comments:
* REQUIRED FIELD          

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