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Your Purchase

DFS Type^*:

Serial Number^*:
(found on the back of your DFS unit)

SIM Card Number^*:
(only provided with modem)

Distributor Name^*:

Purchasing Date^*: Please select... January February March April May June July August September October November December Please select... 2011 2010 2009 2008 2007 2006

Warranty Extension Request: Please select... 1 year 2 years 3 years 4 years

You will be contacted by 3M to get a quote for an extended warranty.

Your Details

Authority / Company Name^*:

Postal Code^*:

Town^*:

First Name^*:

Last Name^*:

Position:

Company Name^*:

Email Address^*:

Confirm Email Address^*:

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