OMRON ®
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Product Registration
Thank you for purchasing an Omron product. Completing the Product Registration Form is an important first step in protecting your investment. Filling out this form can help you obtain product support and efficient warranty service. Thank you again for purchasing our product!
* Indicates a Required Field
Product Information
Product Category
*
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Home Products
--Blood Pressure Monitors, BP Series
--Blood Pressure Monitors, Wrist
--Blood Pressure Monitors, Upper Arm
--Body Composition Monitor
--Body Fat Monitors
--Heart Rate Monitor
--Pedometers
Model Number
*
HEM-650CAN
HEM-629CAN
HEM-670ITCAN
Model Number
*
HEM-741CAN
HEM-431CAN
HEM-711DLXCAN
BP710CAN
BP755CAN
HEM-790ITCAN
Model Number
*
3 Series™
5 Series™
7 Series™
10 Series™
7 Series™ Wrist
Model Number
*
HBF-500CAN
Model Number
*
HBF-400CAN
HBF-306CCAN
Model Number
*
HR-100CAN
Model Number
*
HJ-720ITCCAN
HJ-112CAN (2005)
HJ-112CAN
HJ-150CAN
Serial Number
*
Check the back of your product to locate the serial number. The model number can be found on the instruction manual or original packaging.
Purchase Date *
Year
*
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2006
2007
2008
2009
2010
2011
2012
Month
*
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January
February
March
April
May
June
July
August
September
October
November
December
Date
*
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1
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31
Purchase Price
*
Purchase Location
*
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Amazon.ca
CostCo
Lawtons
Loblaws
London Drugs
Pharmasave
Safeway
Shoppers Drugmart
Other
Personal Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Email Address
*
Phone Number
Thank you for taking the time to complete this form. Are you interested in receiving future communications on new products, promotions and other product news from Omron Healthcare?*
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Would you be interested in receiving information from Omron's partners on special offers and products?*
Yes
No