Pipette Registration

To ensure registration of warranty, please complete the form below.

Gilson warrants this pipette against defects in material under normal use and service for a period of 12 months from the date of purchase.

Gilson is not responsible for incidental damage resulting from physical shock, continuous exposure to corrosive reagents or technical handling not in accordance with the guidelines described in the user's guide.

Indicates required information.

Salutation:		Mr. Mrs. Ms. Dr. Prof.
First Name:
Last Name:
Company:
Address:
City:
State/Province:
Postal/Zip Code:
Country:
Phone:
Fax:
E-mail:

Pipette Product Information: (Click "Add Product" to enter additional pipettes)

Model: Serial Number: Date of Purchase:

Business Type:

Pharmaceutical Industrial Biotech University/Med School Research Institute Clinical Chemistry/Diagnostics Government Forensics Environmental Food/Beverage Other:

I would like to receive new product information via:

E-mail Fax