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Aurora Video Systems
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Please complete all the fields below and click the 'Submit' button. Required fields are marked with '*'. If you'd prefer, download a PDF Registration Form, then fax it to Aurora at (586) 726-5815.

First Name*:

Last Name*:

Company:

Address:

Address 2:

City:

State/Province:

Postal Code:

Country:

What type of address is this:

Residential Business

(Home-based businesses are
classified residential for shipping.)

E-mail*:

Phone:

Which product are you registering?*:

Where did you learn about the Aurora product?*:

Which of the following best describes what you do for a living?:

What will you be using your new Aurora product for?:

Where did you purchase your Aurora product?:


If you are not yet a customer, or are interested in becoming one, you can enter "0" and "0" below.

If you have your serial number, you can either:
1. Enter the numbers from the label on the box in which you received your product. Enter the Product Number in the "Product Number" box and the Serial Number in the "Serial Number" box.
          Or...
2. Enter the full product number as it appears on the circuit board itself or the small number on the label on the product box. This "full product number" looks like "AVSx-y", where x and y are six-digit numbers. You may enter that complete number in the "Product Number" box.

Product Number:

Serial Number:


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