U.S.A.
W
ARRANTY REGISTRA
TION CARD
RETURN TO V
ALIDA
TE YOUR GUARANTEE
NAME
ADDRESS
CITY
ST
A
T
E
Z
IP CODE
TEL.
AGE
GENDER
DA
TE PURCHASED
STORE
CITY
ST
A
T
E
W
AS THIS A GIFT? YES
NO
AQUARIUM SIZE
TYPE(S) OF FISH
CHECK PRODUCT PURCHASED
FLUV
AL 1 PLUS (A-160)
FLUV
AL 2 PLUS (A-165)
FLUV
AL 3 PLUS (A-170)
FLUV
AL 4 PLUS (A-175)
Rolf C. Hagen (U.S.A.) Corp., 50 Hampden Road, Mansfield, Ma. 02048 U.S.A.
