産品保修登記
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姓(Last Name) *
名(First Name) *
聨絡電話  Contact Number *
電郵地址 Email address *
産品名稱 Product Name *
産品序列號  Serial Number *
購買店舖名稱  Shop Name *
購買日期  Date of Purchase *
MM
/
DD
/
YYYY
發票號碼  Invoice Number *
備註  Remarks
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