Product Registration Contact Name * First Name Last Name Email * Phone (###) ### #### Dealer Number (If Applicable) Company Name * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Product Information Model Number * Please enter the model number of the product you would like to register (ie. FC114A). Serial Number * The serial number is location on a silver sticker on the machine, usually under the feed tray. Purchase Location * Please enter the name and location of the company from which you purchased your Count product. Purchase Date * MM DD YYYY Type of Business * Please enter the type of business your company is. Why Count? * Please select the reason why you chose Count for your print finishing needs. Mail Advertisement Email Advertisement Internet Advertisement Catalog Advertisement Dealer Recommendation Friend/Coworker Recommendation Best Price Positive Past Experience Other (note in comments) Comments Please share and additional comments you may have regarding your product purchase or experience. Thank you!