Digital IXUS 95/105/120/130/200/210/300 Watch or Printer & Warranty

Digital IXUS 95 / 105 / 120 / 130 / 200 / 210 / 300
FREE Watch or Printer & 3-Year Warranty

	PLUS this timepiece or PIXMA iP2770 Printer
3-Year Limited Warranty Terms & Conditions		ESPRIT Black
	OR
		PIXMA iP2770 Printer

Last Name
Given Name

Gender
Birthday		/ / example: 12 / 31 / 1970
Occupation

Complete Delivery Address
Address Line 1
Address Line 2
City

Contact Information
Phone Number
Email Address

Purchase Details
Date of Purchase		/ / example: 8 / 31 / 2010
Product Purchased
Product Model
Invoice Number
Dealer/Branch Name
Product Serial Number		How to look for your Serial No

INVOICE UPLOADER:
IMPORTANT: Upload a clear scan or a snapshot of your original receipt/invoice. Allowable format is JPEG, maximum of 500KB