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Date of installation* (*Warranty runs from this date or from the 91st day after the day of leaving the factory, whichever comes first)(Required)
Name of dental practice owner*(Required)
GDPR authorization: I confirm the registration of my unit and accept that my contact details could be used for communications and marketing purposes. Attn!: One form is valid for one product. Please submit this form for each product installed in your practice.(Required)