PowerLeap Server Kit Warranty Registration Card

Please complete the following information and press the SUBMIT button to register your server kit.
(all fields are required).
This form must be completed within 90 days of purchase or the warranty will be void.
Company Name:
Address 1:
Address 2:
City: State: Zip Code: Country:
Purchasing Contact:
Phone#:
E-mail:
Technical Contact:
Phone#:
E-mail:
Website:
Product Type:
PowerLeap Serial#:
Computer Make:
Computer Model:
Purchased From:
Other:
Receipt/Transaction#:
Purchase Date:
Date Format Example: Jul 29 03