Product Warranty Registration

Thank you for your purchase of a Midtronics product!
Complete and submit this form so we may more easily assist you with any future product questions. Midtronics products are warranted for one year from date of purchase. Please retain proof of date and place of purchase (receipt, bill of sale, etc.) in addition to submitting this form. For more details about the product warranty, consult your instruction manual.

* Required fields are marked with an asterisk.

• * Product/Model Name:
• *Serial #:
• * Date of Purchase:
     (mm/dd/yyyy)
• * Place of Purchase:
• * Your Name:
• Title:
• Company Name:
• * Street Address:
• * City:
• * State/Province:
• Telephone:
• * Zip/Postal    Code:
• * Country:
• E-Mail Address:

• Type of Business:
  • Auto Parts Store
  • Battery Distributor
  • Service Shop
  • Garage
  • Other (please specify):
• How did you hear about Midtronics? (please specify):
  • Magazine:
  • Distributor:
  • Battery Rep:

  • Website:
  • Midtronics user:
  • Other:
• Please rate your initial satisfaction with this product:
  • Below my expectations
  • 1
  • 2
  • 3
  • 4
  • Exceeds my expectations
• Have you owned a Midtronics product before?
  • Yes
  • No
  • If yes, which product:
• Why did you purchase this product?
  • Replace old tester/charger
  • Wanted the latest technology
  • Program purchase
  • Other reason (please specify):
• Any other comments to share about Midtronics products or Midtronics in general?
• May we reprint these comments in print/electronically?
  • Yes
  • No
• May we occasionally contact you by email regarding product news, customer satisfaction surveys, etc.?
  • Yes
  • No