Smart Strip Registration

Please answer the below questions and fill out the form to register your Smart Strip. If you have any issues please contact us and we will be happy to assist you.
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* Required information.
Model? * What model Smart Strip are you registering?<br/>*NOTE*: If you purchased more than one Smart Strip then you will need to submit an individual registration for each product you wish to register.
Date Of Purchase? * When did you purchase this Smart Strip?
Place of Purchase? * Where did you purchase your Smart Strip?
First Name: * Your First Name.
Middle Initial: Your one or two character middle initial.
Last Name: * Your Last Name.
Company/Organization: Your Company or Organization Name.
Address Line 1: * Address Line 1:
Address Line 2: Address Line 2:
City/Town/Suburb: * City/Town/Suburb.
State: * State. If you do not live in the US and need a different option please contact us and we will assist you with your registration.
Zip/Postal Code: * Zip/Postal Code.
Country: * Country.
Phone (Daytime/Evening): * What is the most convenient number to contact you? (10 Digits Max)
Phone (Cell): Optional. (10 Digits Max)
Email Address: * This email will only be used to contact you if necessary and will not be added to any mailing list unless you have requested for us to do so.
Intended Use: *What setup will your Smart Strip be used for? IE: In an entertainment system or a computer system. (200 Characters Max)
Characters left:
How did you hear about the Smart Strip? *Please tell us how you heard about the Smart Strip. (300 Character Max)
Characters left:
Additional Comments:If you have anything additional to add please let us know. (300 Characters Max)
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