Warranty Form Current Start Preview Complete Indicates required field Please read before filling in × Information message Please make sure of the following: This site of the inquiry form is managed and operated by our company. As our return E-mail is created only for responding to your inquiry, please do not use the information contained for other purposes. We may not be able to meet your request for a response by a specified date or in the case of urgent inquiries. Please fill out your inquiry details and your personal information. Salutation - Select -DrMrMrsMissMs First name / Last name First name Last name Company Legal Name E-mail Confirm your E-mail address by typing the same E-mail address below. Confirm email Primary Contact Number Secondary Contact Number Block/House number and Street Name Unit Number Building Postal Code Product Details Place of Purchase - Select -01 Computer System Pte LtdAK Global Tech Pte LtdAlbony Integration Services Pte LtdApac System Pte LtdArdent IT Pte LtdAsiacloud Solutions Priviate LimitedBescom Computer System Pte LtdBits & Bytes Marketing Pte LtdBizgram Asia Pte LtdCentury Office & Gift SuppliesCJ Enterprise Pte LtdClover Global Pte LtdCOE Marketing (S) Pte LtdComputer Analysts & Recovery Experts Pte LtdCourts (Singapore) Pte LtdCSS Office Solutions Pte LtdDeskright Pte LtdDots Technology & TradingEvergreen Group Pte LtdFlexitech Pte LtdFUJIFILM Business Innovation Singapore Pte LtdGlobal IT Mart Pte LtdIdeal Technology (S) Pte LtdInnocom Technologies Pte LtdJK Technology Pte LtdKumpulan Development (s) Pte LtdMajulah Office Equipment Pte LtdManaged Print Solutions Pte LtdMediapro Technology Pte LtdMGR Office Solutions Pte LtdNikko Group Pte LtdNordic Solutions (Asia) Pte LtdOregon Prime Marketing (International) Pte LtdPearlblue Tech Pte LtdPopular Book Company Pte LtdRam E Pte LtdS2 Computer Supplies Pte LtdSky 9 Innovation Pte LtdStrategic Netbiz Pte LtdTAK System Integration Pte LtdTech Digital Pte LtdXenetix Pte LtdOthers Date of Purchase Product Model Number - Select -DocuPrint P285 dwDocuPrint M285 zDocuPrint CP315 dwDocuPrint CM315 zDocuPrint P375 dwDocuPrint M375 zDocuPrint CP405 dDocuPrint CM405 dfDocuPrint P455 dDocuPrint M455 dfDocuPrint P475 APDocuPrint CP475 APDocuPrint 3205 dDocuPrint 3505 dDocuPrint 4405 dDocuPrint C5155 dApeosPort-VII C3321ApeosPort-VII 4021ApeosPort-VII C4421ApeosPort-VII 5021ApeosPort Print C5570Apeos C325 zApeosPrint C325 dwApeosPrint C4030Apeos C4030Apeos C3530ApeosPrint 5330Apeos 5330Apeos 4830ApeosPort C2410 SDApeosPort Print C2410 SDApeosPort 3410 SDApeosPort Print 3410 SDApeosPort C3320 SDApeosPort 4020 SDApeosPort Print 4020 SDApeosPort Print 4730 SD Product Serial Number Product Warranty Period Note: If there is any discrepancy with the warranty period offered, please contact our service hotline at +65 6766 8888 or email us at shm-fbsg-support@fujifilm.com Invoice Number Promotion Code If Any I have read, understood and agree to the Terms & Conditions Terms & Conditions Yes, I give my consent to FUJIFILM Business Innovation Asia Pacific Pte Ltd to contact or keep me updated of FUJIFILM Business Innovation printers’ contests, promotions and latest developments × Information message Handling of personal information Please be advised that we will use your personal information, such as your name and email address, which you may provide via this form in order to serve you by sending our response to your inquiry. We may also have occasion to forward your personal information to our affiliated companies and/or distributors of our products and/or services in order to serve you quickly and efficiently. If you agree, please check the box below. I have read and agreed to the Privacy Policy. *In order to submit, you must agree to the Privacy Policy.