Product Registration Form

Please register your Connect Tech product(s). Registration Guarantees you Free Technical Support

    Fields denoted with an asterisk (*) are mandatory.

    Address Information

    Name:*

    Email:*

    Job Title:*

    Company:*

    Market/Industry:*
    EmbeddedCommercial/IndustrialDefenseAutonomous VehiclesRoboticsEducationHealthcareVisionOther

    Mailing Address 1:*

    Mailing Address 2:

    City/Town:*

    State/Province:*

    Country:*

    Zip/Postal Code:

    Phone Number:

    Fax Number:

    Product Information

    Product A Part Number:*

    Serial Numbers A:*

    Product B Part Number:

    Serial Numbers B:

    Operating System:

    CPU Platform:

    Purchased From:

    Approximate Date Purchased:

    CPU Manufacturer:

    Name of Vendor: