Light 'n Carry Registration

Thank you for your purchase. Please provide the information below to complete your registration.

(Required fields in red)
Model Number:  
Serial Number:  
Purchase Date:  
(use format mm/dd/yyyy)
Usage Type:  
Your Company Name:  
Your First Name:  
Your Last Name:  
Address:  
City:  
State/ Province:  
Postal Code:  
Country:  
Email:  
Phone Number:   - -
Fax Number:   - -
Place of Purchase: