Warranty Card

Please fill out the form below and click Submit to send us your warranty information. This must be completed within 10 days of purchase. Once submitted, AdDent will keep your completed warranty on file. (If you prefer, you may Download the Warranty Registration Here, fill it out and mail it to Addent, Inc. 43 Miry Brook Road, Danbury, CT 06810.)

All fields are required.

Purchaser's Name

Street Address

City, State, Zip & Country:

Purchaser's Email Address

Product Name:

Serial Number:

Purchased Date:

Dealer Name & Address:

Where did you hear about AdDent?
 Dealer Lecturer AdDent Rep. Publication Other