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PRODUCT REGISTRATION To register your product please completed the following form. Please register your Sylvania product to maximize your warranty benefits. PERSONAL INFORMATION First Name * Last Name * Email * Phone * Address Line1 * Address Line2 City *
Country * State/Province/Region *
ZIP/Postal Code *

PURCHASE INFORMATION Store * Date * (mm/dd/yyyy) (Please refer to user's manual for Item and Model number.) Mfg/Item # * Model # * Price Paid (excluding tax) Purchase for Which two factors influenced your purchase of this product the most? *Required field.

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SYLVANIA branded products are for distribution and sale in the United States, its Territories and Possessions, Mexico, Canada.
SYLVANIA is a registered trademark of OSRAM SYLVANIA Inc., used under license.
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