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Speedglas™ Warranty Registration Form

Thank you for purchasing this 3M™ Speedglas™ product or component. Please provide the following information to register your purchase. Note that the Speedglas warranty described in the User Instructions accompanying this 3M Speedglas product or component constitutes the sole and exclusive warranty offered by 3M.

To register more than one product please download and complete this form file.

Customer Information

*This information is required to complete your 3M Speedglas Warranty Registration.

*First Name:
*Last Name:
I am a:
Company/School Name:
*Address:
*City:
*State:
*Zip:
*Country:
Phone:
Fax:
*Email:

Product Information

Example

*Part Number:
*Serial Number:
*Date of Purchase:

Purchasing Information

Purchased Where? (check one)
Welding Distributor
Internet
Other:
Purchase Price:
Type of welding most commonly done: (check one)
Maintenance
Production Manufacturing
Automotive
Misc. Fabrication
Chem-Petrochemical
Hobby
Other:
What is the estimated number of people in your business who use PPE? (check one)
10 and under
Eleven to 70
70-150
151+
What types of PPE do you currently use? (check all that apply)
Eyeware
Fall Protection
Gloves
Hearing
Protective Garments
Respiratory
Other
How do you like to be notified about new products? (check all that apply)
Blogging
Direct Mail
Email
Focus Groups
Phone/Texting
Social Networking (ex. Facebook, Twitter)
Other
How many hours per week do you weld? (check one)
Less than 10
10 to 20
20 to 30
30 to 40
More than 40

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Failure to submit this registration form will not affect the warranty which accompanies this product or component.

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3M and Speedglas are trademarks of 3M, used under license in Canada.