Register Your Device

Name *

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Last

School / Organization

Email *

Phone *

Address

Address Line 1

Address Line 2

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Zip Code

Product Model # *

Product Serial # *

*The Product # and Serial # can be found on the silver label on the back of your product.

Did you purchase this device directly from AMDI or through a reseller? *

Directly from AMDi
Through a Reseller

... Which reseller? *

... Proof of Purchase (accepts most file-types)

Please upload your receipt, invoice or other proof of purchase from the reseller named above. * If you're not ready to complete this step just yet, please continue with this form and you can send proof of purchase later via email to sales@amdi.net or fax to (631) 531-8811.

Date Purchased *

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