PRODUCT & WARRANTY REGISTRATION
Enter the following information to register your HySecurity product. Please
write legibly.
NOTE: TO EXTEND THE OPERATOR WARRANTY BEYOND 1 YEAR, YOU MUST
RETURN THIS REGISTRATION WITHIN 60 DAYS OF PURCHASE. Refer to the
Limited Warranty.
Installer Information
First/Last Name: ___________________________
Company Name: __________________________
Address: _________________________________
City: _____________ State/Province: __________
Country: __________ Postal Code: ____________
Daytime Phone: ___________________________
E-mail: __________________________________
End-user Information
First/Last Name: ___________________________
Company/Association: ______________________
Address: _________________________________
City: _____________ State/Province: _________
Country: __________ Postal Code: ____________
Daytime Phone: ___________________________
E-mail: __________________________________
Email this completed form to:
For technical support call: 866-300-1110
Wallace Perimeter Security does not share warranty
registration information with parties unless the requested
services, transactions, or legal requirements necessitate it.
Product Information
Model name/number: ______________________
Serial number: ____________________________
Purchase Date: ____________________________
Purchase Price: ____________________________
Distributor’s name: ________________________
Distributor’s City: __________________________
Country: _________________________________
Installation Date: __________________________
Who is completing this form? (Mark an “X”.)
Installer
Maintenance
Personnel
End User
Other
Distributor
Additional Comments:
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Mark an “X”.
Did you visit the Nice | HySecurity website before purchasing your product?
How did you hear about HySecurity gate operators? (Check all that apply.)
Advertisement
Exhibition
Distributor
Business Associate
Other (please specify)
____________________
What factor(s) most influence your purchase? (Check all that apply.)
Performance
Price
Power
Reliability
Brand
Prior Experience
Recommendation
Warranty
Product Weight
YES
NO
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