Back to Sunnex Home Back to Tasklight Home » 
Warranty Registration
Product Information
Model Number Serial Number Date of purchase

Customer Contact Information (required fields are marked with *)
Name:   *
Company:   *
Title:  
Address:  
City:   *
State:  
Zip Code:  
Country:   *
Phone:  
Fax:  
E-mail:   *

Type of facility?
1. Physician's office - Specialty?
2. Clinic/Surgery Center/Hospital - Department?
3. Distributor
4. Other - Please explain?
 

Did you order this product for:
1. New construction
2. Remodeling
3. Replacing old light

Are you planning to purchase additional lights?
1. No
2. Yes. Within 1 year.
3. Yes. No timeframe.

How did you learn about Sunnex Medical Lighting?
1. Trade Show
2. Web site
3. Advertising
4. Word of mouth
5. Distributor recommendation

Did you also look at other competitive lighting products?
1. No
2. Yes - Which ones?