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Claim form - Public Sector offer from Epson

How to make your claim..

1. Complete and submit the claim form below.

2. Fax or post your proof of purchase to us within 15 days of submitting this form:-

  • By Fax - 08702 413093
  • By Post - Epson PS warranty promotion, Customer Inter@ction Centre, PO Box 1, Hortonwood 30, Telford, Shropshire, TF1 7YD
Personal details:
First Name: *
Surname: *
Job Title: *
Organisation Name: *
Address: *
 
Town: *
County: *
Postcode: *
Email address: *
Telephone: *
Product Information:
Reseller Name: *
Invoice Number: *
What is the model name and serial number of your Epson product?
Model Name *
Serial Number *
Additional Information:

Which industry sector does your organisation operate in?

  *
Other (Please Specify):

How many employees does your organisation employ at your location?
  *

Are you the IT purchasing decision maker?
  *
If No (Please specify Name of decision maker):

What influenced your purchasing decision? (1 = No influence, 5 = High, Multiple options are possible)
 
1
2
3
4
5
  
Free 3 year extended warranty:
 
Price:
 
Long term running costs:
 
Specifications:
 
Durability:
 
Epson Brand:
 

Does your organisation mainly print in?
  *

How many laser printers does your organisation have on site?

  *

Do you intend to visit any exhibitions within the next 12 months?

  *
If Yes, what are they?

What other products in the Epson range would interest you and your organisation?

Mono and Colour laser printers:
Dot matrix printers:
Business projectors:
General purpose inkjet printers:
All in one inkjet printers:
Graphic scanners:
Digital photography products:
Multi-functional laser printers:
Large Format inkjet printers:
Home Cinema projectors:
Photo inkjet printers:
A4 Scanners:
Business scanners:

Epson may use the information you have provided to send you details about similar products, services or promotions we think may be of interest to you.

If you would like to receive such information, please indicate the preferred methods:

by email, please tick here
by post, please tick here
by telephone calls, please tick here

If you would not like to receive such information, please tick here

 

 

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