Contact Designs For Vision

Warranty Activation

Loupes & Headlight
Warranty Activation

To activate your loupes and/or headlight warranty
please register your purchase by completing this simple form

First Name*
Last Name*
Suffix
Profession*
Account #
E-Mail*
Street
City
State /Province
Zip Code*
Country*
Telephone
Mobile Phone
Fax
Loupes Registration
Full Name Engraved on case
Magnification
Frame
Color
LED DayLite^® Registration
Serial #1	alpha numeric
Serial #2 if applicable	alpha numeric
Additional Serial Numbers	Check this box if you have more serial numbers to register Serial #3 alpha numeric Serial #4 alpha numeric Serial #5 alpha numeric Serial #6 alpha numeric Serial #7 alpha numeric Serial #8 alpha numeric Serial #9 alpha numeric Serial #10 alpha numeric

Comments / Questions
Please email me special offers, product announcements, warranty and technical information. *Required fields