Warranty Registration Form

Contact Details

First Name *
Last Name *
Company Name *
Job Title
Email/Business Email *
Phone/Business Phone *
Address/Business Address

Product Details

Dealer/Distributor * *Note: For dealers not listed, please select 'Other' and fill in the the text box provided.
Please specify
Date Purchased *
Product Model *
Warranty Period * *Note: if there is any discrepancy with the warranty period offered, please contact our service hotline at Or email us at
Serial Number *
Invoice Number *
Upload Invoice PDF, DOC or JPG
How did you find the Warranty Registration site? *
I represent and warrant that I have the authority to provide the information submitted in this form (including information in any attachments) to FUJIFILM Business Innovation Philippines, and I give my consent for such information to be stored, used and/or disclosed by FUJIFILM Business Innovation Philippines for the purpose of investigating and/or responding to my sales inquiry. I acknowledge that I have read, understood and/or have been duly informed of the terms and conditions pertaining to the data privacy practices of the FUJIFILM Business Innovation as reflected in the FUJIFILM Business Innovation Data Privacy Policy and I hereby express my full conformity thereto. *
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CSH and Product Warranty Registration Form