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6056 Rev B
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A.1 IMPORTANT: THIS IS YOUR T°HOLD® WARRANTY REGISTRATION
Please register your Warranty by copying this page, providing the requested information, and
sending the completed form to Medical Solutions, Inc. within thirty (30) days of purchase.
Hospital Name:
Street
Address:
Mailing Address
City:
State:
Zip Code:
Contact Name:
Phone:
Email:
Date Purchased:
Serial Number:
Department Purchased
For:
COPY THIS PAGE AND MAIL, FAX, OR EMAIL TO:
Medical Solutions, Inc.
ATTN: Warranty Supervisor
3901 Centerview Drive, Suite L
Chantilly, VA 20151
FAX NUMBER: 703-834-0039
EMAIL: [email protected]
