Mr/Mrs/Ms/Miss
Initials
Surname
Registration Card
please complete in BLOCK CAPITALS and return within 7 days
Telephone
(please include your STD code)
Postcode
(it is important to fill in your postcode)
House Number
Address
Your details will be held and used by Domestic & General Services Limited and Domestic & General Insurance PLC and Vax to provide customer services,
information about extended warranties and for other marketing purposes. We will disclose your information to our service providers and agents for these purposes.
Your details may also be used by us or carefully selected third parties for other marketing purposes. We and the third parties may contact you by mail, telephone
or email. If you do not wish third parties to receive your data or do not wish for us to use your data for other marketing purposes please put an X in this box.
To help keep your details accurate we may use information we receive from our partners. You can ask for a copy of your details (for a small fee) and to correct any
inaccuracies. To make sure we follow your instructions correctly and to improve our service we may monitor or record our communications with you. Please note
that failure to provide some or all of the information requested does not affect your statutory rights but may affect the quality of the service provided.
Product Description
Model
Serial Number
Date of Purchase
Purchase Price
.
Were you given or did you purchase an extended guarantee?
(please mark with an ‘x’)
Yes No
If yes for how long? 1 year
2 years
3 years
4 years
VARC/0902
PLEA
SE
AFFIX
STAMP
Vax R
egistr
atio
nD
epartment
Leic
ester House
17 Leices
ter Street
Bedwort
h,
Warwic
kshire
CV128
JP
