Warranty Registration

Warranty Registration From

Please fill out the form below to complete your warranty registration.

Customer Information
Name First Last
(required)
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
(required)
Email

(required)
Gender Male Female
(required)
How old are you?

(optional)
Education

(optional)
Income

(optional)
Purchased Item Information
Item Purchased

Name of Item (required)
Date Purchased / MM / DD YYYY
(required)
Price $ . Dollars Cents
(required)
Purchased From

Store Name (required)
Model Number

SM##### (required)
Serial Number

(if applicable)
Survey Section

Give us as much information as possible so that we can provide you with the best service.
Use Outdoors Police/Law Enforcement Boating/Fishing Hunting Military Home Defence Shooting Other
(optional)
What influenced your purchase Article/Publication SightMark Brand Features Sales Person Warranty Price/Value Friend Other
(optional)
Favorite Publications

(optional)
Comments and Suggestions

(optional)
Favorite Outdoor Store

(optional)
Design (5 being the best)

5 being the best and 1 being the worst.
Packaging

5 being the best and 1 being the worst.
Ease of Use

5 being the best and 1 being the worst.
Documentation

5 being the best and 1 being the worst.
Price

5 being the best and 1 being the worst.
Overall

5 being the best and 1 being the worst.