

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml"><head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">

	
<title>SciCan | Register your warranty</title>


	<link href="http://www.google.com/uds/css/gsearch.css" type="text/css" rel="stylesheet"/>


<link href="/site/ywd_prototype/library/css/main.css" rel="stylesheet" type="text/css">


<link href="/site/ywd_prototype/display/templates/t5/library/main.css" rel="stylesheet" type="text/css">
<link href="/site/ywd_prototype/display/templates/t5/library/skins/10/background/1.css" rel="stylesheet" type="text/css">
<link href="/site/ywd_prototype/display/templates/t5/library/skins/10/skin.css" rel="stylesheet" type="text/css">
<link href="/site/ywd_prototype/library/css/theme/101.css" rel="stylesheet" type="text/css">
<link href="/site/ywd_prototype/library/css/alignment/2.css" rel="stylesheet" type="text/css">

<link href="/site/ywd_prototype/library/css/type/2.css" rel="stylesheet" type="text/css">


	<link href="/site/ywd_prototype/library/css/overridetext/1.css" rel="stylesheet" type="text/css">


<link href="/site/ywd_prototype/library/css/overrideborder/1.css" rel="stylesheet" type="text/css">
<link href="/site/ywd_prototype/library/css/overridespacing/1.css" rel="stylesheet" type="text/css">
<link href="/site/ywd_prototype/library/css/level1nav/1.css" rel="stylesheet" type="text/css">
<link href="/site/ywd_prototype/library/css/link/1.css" rel="stylesheet" type="text/css">


	<link href="/site/ywd_prototype/display/templates/t5/library/skins/10/background/1.css" rel="stylesheet" type="text/css">


<style type="text/css">


	body {
		background-color:#BEBEBE;
		
		
					background-image:none;
				
			
	}


		body {
			background-image:url(/site/scican//assets/images/scican_topbar_canada2.gif);
			background-position:top center;
			background-repeat:no-repeat;
			background-attachment:scroll;
		}
	

	.layoutleft, .navbar, .leftcol {
			border-style:none;
		}


	#shadowbottomrow {
		display:none;
	}


#wrapper {
	width:988px;
}


#wrapperfooter .footer {
	width:988px;
	position:relative;
	text-align: left;
	margin-left: auto;
	margin-right: auto;
}


	.contenttable, .contenttablesub {
		height:350px;
	}


	.footer, #wrapperfooter {
		background-color:#888888;
	}


.footer {
	padding-left:20px;
}

	
.footer {
	padding-right:20px;
}

	
.footer {
	padding-top:20px;
}

	
.footer {
	padding-bottom:5px;
}


	body, td, p, /*input, select,*/ h1, h2, h3, h4, h5, h6, div {
		color:#666666;
	}


		.leftcol, .navleft, .layoutbottomleft {
			background-color:#FFFFFF;
		}
	

		.rightcol, .rightcolsub {
			background-color:#FFFFFF;
		}
	

	.tertiarynav, .footertext, .footerlogo {
		color:#444444;
	}


<!-- global header colours replaced by individual header settings. kept for compatibility --->


#nav {
	padding-top:0px;
	padding-bottom:0px;
}

	.navbararea {
		border-top-width:0px;
		padding-top:0px;
		margin-top:0px;
	}
	.navbar {
		padding-top:0px;
		margin-top:0px;
	}


	.navbararea {
		border-bottom-width:0px;
		padding-bottom:0px;
		margin-bottom:0px;
	}
	.navbar {
		padding-bottom:0px;
		margin-bottom:0px;
	}


	.navbararea, .navbar, #nav, #nav ul, #nav ul:hover {
		background-color:transparent;
		background-image:none;
		height:auto;
	}
	.navbararea {
		border-top-color:transparent;
		border-bottom-color:transparent;
	}


		.navbuttonrollover, .navbuttonon:hover, #nav li:hover, #nav li.sfhover, ul.dropdown li:hover, ul.dropdown ul a:hover {
			background-color:#000000;
			background-image:none;
		}
	

		.navlinks, .navlinks:visited, #nav a {
			color:#53E2B1;
			background-color:transparent;
		}
	

	.navlinkson, .navlinkson:visited {
		color:#F7941D;
		background-color:transparent;
	}
	#nav a.dhtmlnavactive, a.dhtmlnavactive {
		color:#F7941D;
	}


	.navlinks:hover, .navlinkson:hover, #nav:hover, #nav a:hover, #nav li:hover, #nav li.sfhover, ul.dropdown a:hover {
		color:#F7941D;
		background-color:transparent;
	}


	.navlinks, .navlinkson, #nav li, #nav li ul, #css3dnav1 li, #css3dnav1 li ul, ul.dropdown {
	
	}


	.navlinks, .navlinkson, #nav li, #nav li ul, #css3dnav1 li a, #css3dnav1 li ul a, ul.dropdown {
		font-size:15px;
	}
	
		.navlinks, .navlinkson, #nav li, #nav li ul {
			line-height:1.2em;
		}
	

		.navlinks, .navlinkson, #nav a, #css3dnav1 li a, #css3dnav1 li ul a, ul.dropdown {
			text-transform:none;
		}
		

	.navbar, .navbararea, .navbutton, .navbuttonon, .navbuttonrollover {
		height:30px;
	}
	.navbutton a, .navbuttonon a, .navbuttonrollover a, .navlinks a, .navlinkson a, #nav a {
		line-height:15px;
	}


	.navbar {
		margin-left:450px;
		padding-left:0px;
	}


	.navbuttons td {
	
	}


	.navbuttons td {
		border-left-color:#25958F;
	}


	.navleft1current, .navleft2current, .navleft3current {
		background-color:#F0F0F0;
		background-image:none;
	}


	.navleft1:hover, .navleft1current:hover, .navleft2:hover, .navleft2current:hover, .navleft3:hover, .navleft3current:hover {
		background-color:#F0F0F0;
		background-image:none;
	}


	.navleft1current, .navleft2current, .navleft3current {
		color:#5DAD92;
	}


	.navleft1:hover, .navleft1current:hover, .navleft2:hover, .navleft2current:hover, .navleft3:hover, .navleft3current:hover {
		color:#5DAD92;
	}


	.navleft1, .navleft1current, .navleft2, .navleft2current, .navleft3, .navleft3current {
	
	}


	.navleft1, .navleft1current, .navleft2, .navleft2current, .navleft3, .navleft3current {
		font-size:14px;
		line-height:1.2em;
	}


	.navleft1, .navleft1current, .navleft2, .navleft2current, .navleft3, .navleft3current {
		line-height:14px;
	}


	.navleft1, .navleft1current, .navleft2, .navleft2current, .navleft3, .navleft3current {
	
			border-bottom-width:2px;
			border-bottom-style:solid;
		
	}


	.navleft1, .navleft1current, .navleft2, .navleft2current, .navleft3, .navleft3current {
		border-bottom-color:#000000;
	}


		.navleft1, .navleft1current, .navleft2, .navleft2current, .navleft3, .navleft3current {
			text-transform:none;
		}
		

	.navleft2, .navleft2current, .navleft3, .navleft3current {
	
	}


	.navleft2, .navleft2current, .navleft3, .navleft3current {
		font-size:12px;
		line-height:1.2em;
	}


	.navleft2, .navleft2current, .navleft3, .navleft3current {
		line-height:14px;
	}


	.navleft2, .navleft2current, .navleft3, .navleft3current {
	
			border-bottom-width:1px;
			border-bottom-style:dotted;
		
	}


	.navleft2, .navleft2current, .navleft3, .navleft3current {
		border-bottom-color:#C2C2C2;
	}


		.navleft2, .navleft2current, .navleft3, .navleft3current {
			text-transform:none;
		}
		

	.navleft3, .navleft3current {
	
	}


	.navleft3, .navleft3current {
	
	}


		.navleft3, .navleft3current {
			text-transform:none;
		}
		

	.linearnavbar, .linearnavbarsearch {
		height:38px;
	}


	.linearnavbar td a, .linearnavbarsearch td a {
		color:#DEDEDE;
		
	}


	.linearnavbar td a:hover, .linearnavbarsearch td a:hover {
		color:#FFFFFF;
		
	}


	.linearnavbar td a, .linearnavbarsearch td a {
	
	}


	.linearnavbar td a, .linearnavbarsearch td a {
		font-size:10px;
		line-height:1.2em;
	}


	.linearnavbar td a, .linearnavbarsearch td a {
			text-transform:uppercase;
		}
		

	.linearnavbar table, .linearnavbarsearch table {
		margin-right:23px;
	}


	.tertiarynav a {
		color:#EEEEEE;
	}


	.tertiarynav a:hover {
		color:#FFFFFF;
	}


	.tertiarynav a {
	
	}


	.tertiarynav_l2 a {
			font-weight:normal;
		}
		

	.tertiarynav a {
			text-transform:none;
		}
		

	.tertiarynav, .footertext {
		padding-left:0px;
	}


			.tertiarynav a:hover {
				text-decoration:underline;
				border-bottom-style:none;
			}
		

	.contentmaincol, .contentmaincolsub, .breadcrumbs {
		padding-left:30px;
	}


	.contentmaincol, .contentmaincolsub {
		padding-top:25px;
	}


	.contentmaincol {
		padding-right:0px;
	}


	.contentmaincol {
		padding-top:41px;
	}


	.contentmaincol {
		padding-bottom:0px;
	}


	h1 {
		letter-spacing:px;
	}


	h2 {
		letter-spacing:px;
	}


	h3 {
		letter-spacing:px;
	}


	h4 {
		letter-spacing:px;
	}


	h5 {
		letter-spacing:px;
	}


	h6 {
		letter-spacing:px;
	}


	p {
		margin-bottom:0.7em;
	}


	.contentmaincol p, .contentmaincol div, .contentmaincol ul, .contentmaincol li, .contentmaincol td, 
	.contentmaincolsub p, .contentmaincolsub div, .contentmaincolsub ul, .contentmaincolsub li,  .contentmaincolsub td,
	.rightcol p, .rightcol div, .rightcol ul, .rightcol li, .rightcol td,
	.rightcolsub p, .rightcolsub div, .rightcolsub ul, .rightcolsub li, .rightcolsub td,
	#contentheader p, #contentheader div, #contentheader ul, #contentheader li, #contentheader td,
	#contentfooter p, #contentfooter div, #contentfooter ul, #contentfooter li, #contentfooter td  {
		line-height:17px;
	}


	.navleft, #contentleftcol {
		width:170px;
	}
	
	
	.leftcol {
		padding-right:0px;
	}


	.leftcol {
		padding-top:41px;
	}


	.leftcol {
		padding-bottom:0px;
	}


.navleft {
	margin-left:5px;
}
#contentleftcol {
	padding-left:5px;
}


.navleft, #contentleftcol {
	padding-right:0px;
}


	.leftcol, .leftcolsub {
		width:170px;
	}

.navleft, #contentleftcol {
	width:165px;
}


	h1 {
	
	}


	h2 {
	
	}


	h3 {
	
	}


	h4 {
	
	}


	h5 {
	
	}


	h6 {
	
	}


	h1 {
		font-size:28px;
		line-height:1.2em;
	}


	h2 {
		font-size:17px;
		line-height:1.2em;
	}


	h3 {
		font-size:14px;
		line-height:1.2em;
	}


	h4 {
		font-size:12px;
		line-height:1.2em;
	}


	h1 {
		line-height:28px;
	}


	h2 {
		line-height:21px;
	}


	h3 {
		line-height:18px;
	}


	h4 {
		line-height:15px;
	}


	h1 {
		font-weight:normal;
	}


	h2 {
		font-weight:normal;
	}


	h3 {
		font-weight:normal;
	}


	h4 {
		font-weight:normal;
	}


	h5 {
		font-weight:normal;
	}


	h6 {
		font-weight:normal;
	}


	h1 {
		color:#000000;
	}


	h3 {
		color:#000000;
	}


	h4 {
		color:#000000;
	}


		h1 {
			text-transform:none;
		}
		

		h2 {
			text-transform:none;
		}
		

		h3 {
			text-transform:none;
		}
		

		h4 {
			text-transform:none;
		}
		

		h5 {
			text-transform:none;
		}
		

		h6 {
			text-transform:uppercase;
		}
		

	.contentmaincol a, .contentmaincolsub a, #contentrightcol a, .rightcol a, .rightcolsub a, #monthcalendar span.tip a, #contentleftcol a, #contentheader a, #contentfooter a {
		font-weight:normal;
	}


	.contentmaincol a, .contentmaincolsub a, #contentrightcol a, .rightcol a, .rightcolsub a, #monthcalendar span.tip a, #contentleftcol a, #contentheader a, #contentfooter a {
		color:#006699;
	}


	.contentmaincol a:hover, .contentmaincolsub a:hover, #contentrightcol a:hover, .rightcol a:hover, .rightcolsub a:hover, #monthcalendar span.tip a:hover, #contentleftcol a:hover, #contentheader a:hover, #contentfooter a:hover {
		color:#F7941D;
	}


	.contentmaincol a:hover, .contentmaincolsub a:hover, #contentrightcol a:hover, .rightcol a:hover, .rightcolsub a:hover, #monthcalendar span.tip a:hover, #contentleftcol a:hover, #contentheader a:hover, #contentfooter a:hover {
		background-color:transparent;
	}


	.maincolbox, .leftcolbox, .rightcolbox {
		margin-left:0px;
	}


	.maincolbox, .leftcolbox, .rightcolbox {
		margin-right:0px;
	}


	.maincolbox, .leftcolbox, .rightcolbox {
		margin-top:0px;
	}


	.maincolbox, .leftcolbox, .rightcolbox {
		margin-bottom:10px;
	}


		h1 {
	
	
		border-width:2px;
	
	
		border-style:solid;
	
	
		border-color:#77AE9A;
	
	
		padding:5px;
	
	
			border-top:none;
			border-left:none;
			border-right:none;
		
	
		margin-bottom:20px;
	
	}
	
	
#contentrightcol {
	margin-left:18px;
}


#contentrightcol {
	margin-right:10px;
}


	.rightcol, .rightcolsub {
		width:250px;
	}

#contentrightcol {
	width:222px;
}


	.rightcol, .rightcolsub {
		padding-top:75px;
	}


.rightcol #contentrightcol {
	margin-left:18px;
}


.rightcol #contentrightcol {
	margin-right:5px;
}


	.rightcol {
		width:240px;
	}

.rightcol #contentrightcol {
	width:217px;
}


	.rightcol {
		padding-top:42px;
	}


	.rightcol,.rightcolsub {
		background-image:url(site/scican/assets/images/sc_rightcolback.gif);
		background-repeat:no-repeat;
	}


	ul li {
	
		list-style-type:disc;
    
	}


	ul li {
		list-style-image:url(site/scican/assets/images/sc_bullet.gif);
	}


	ul {
		margin-left:1.3em;
	}
	ol {
		margin-left:1.3em;
	}


	hr {
		border-top-color:#EEEEEE;
	}


	hr {
		border-top-width:1px;
	}


	hr {
	
		border-top-style:solid;
    
	}


	hr {
		margin-top:0.5em;
	}


	hr {
		margin-bottom:0.5em;
	}


	.blognavbar #nav li, .blognavbar #nav a {
	
	}


	.BlogButtons, .BlogButtons a {
	
	}


.productListItemImage a, .productListItemImage a:hover {
	background-color:transparent;
}


</style>


<link media="print" href="/site/ywd_prototype/library/css/printerfriendly.css" rel="stylesheet" type="text/css">


	<link href="site/scican/library/css/custom.css" rel="stylesheet" type="text/css">


    <link rel="shortcut icon" href="site/scican/assets/images/favicon.gif" type="image/x-icon">
    <link rel="icon" href="site/scican/assets/images/favicon.gif" type="image/x-icon">


	<script language="JavaScript1.2" src="library/javascript/qforms/c_qforms.js" type="text/javascript"></script>
	<script language="JavaScript" type="text/JavaScript">
		qFormAPI.setLibraryPath("library/javascript/qforms");
		qFormAPI.include("field");
		qFormAPI.include("validation");
		qFormAPI.include("functions");
		qFormAPI.include("functions_js12");
		qFormAPI.include("cookies");
	</script>
	<script language="JavaScript1.2" src="library/javascript/cdkpQformsAlterations/container-ext.js" type="text/javascript"></script>


			<script type="text/javascript">
		_ajaxConfig =  {'_cfscriptLocation':'/library/ajaxcfc/calendar.cfc', 
						'_jsscriptFolder':'/library/ajaxcfc/js',
						'debug':true};
	</script>
	<script src="/library/ajaxcfc/js/ajax.js" type="text/javascript"></script>


	<script language="JavaScript1.2">
		var CalUpdatedContent = '';
		function GetCalContent(CalDate,siteid) {
			var calobj = new Object();
			calobj.CalDate = CalDate;
			calobj.siteid = siteid;
			calobj.URLPATH = "index.cfm?id=16173";
			DWREngine.setAsync(false);
			DWREngine._execute(_ajaxConfig._cfscriptLocation, null, 'getcalcont', calobj,calobj,calobj, DoContent);
		}
		function DoContent(r) {
			$('calendar').innerHTML = r.calcontent;
		}
		function GetCalEvent(EventID) {
			var EventID = EventID;
			DWREngine.setAsync(false);
			DWREngine._execute(_ajaxConfig._cfscriptLocation, null, 'geteventbyid', EventID,EventID, DoEventContent);
		}
		function DoEventContent(r) {
			$('csstips').innerHTML = r;
		}
	</script>


		<script language="JavaScript1.1" type="text/javascript">
		<!--
		
		
		var objCCForm1 = "";
		
		var objCCForm2 = "";
		
		
				function completeform2()
				{
					try {
					
					}
					catch (e)
					{
						window.alert(e);
					}
				}
				
		
		function ONLOADDocumentFunction ()
		{
		
				
				////// start
				
				try {
				
				objCCForm2 = new qForm("ccform2");
			
		
		objCCForm2.serial_number.description = "serial_number";
		
		objCCForm2.serial_number.required = true;
		
		
		objCCForm2.model_number.description = "model_number";
		
		objCCForm2.model_number.required = true;
		
		
	objCCForm2.product_type.description = "product_type";
	
	objCCForm2.product_type.required = true;
	
	
		objCCForm2.clinic_name.description = "clinic_name";
		
		
	objCCForm2.title.description = "title";
	
	
		objCCForm2.first_name.description = "first_name";
		
		objCCForm2.first_name.required = true;
		
		
		objCCForm2.middle_initial.description = "middle_initial";
		
		
		objCCForm2.last_name.description = "last_name";
		
		objCCForm2.last_name.required = true;
		
		
		objCCForm2.address.description = "address";
		
		objCCForm2.address.required = true;
		
		
		objCCForm2.city.description = "city";
		
		objCCForm2.city.required = true;
		
		
		objCCForm2.province.description = "province";
		
		objCCForm2.province.required = true;
		
		
		objCCForm2.postal_code.description = "postal_code";
		
		objCCForm2.postal_code.required = true;
		
		
//objCCForm2.postal_code.validate = true;
objCCForm2.postal_code.validateAlphaNumeric("No Validation.");

		
		objCCForm2.country.description = "country";
		
		objCCForm2.country.required = true;
		
		
		objCCForm2.business_number.description = "business_number";
		
		
//objCCForm2.business_number.validate = true;
objCCForm2.business_number.validatePhoneNumber(10,"The phone number must contain 10 numbers.");

		
		objCCForm2.business_fax_number.description = "business_fax_number";
		
		
//objCCForm2.business_fax_number.validate = true;
objCCForm2.business_fax_number.validatePhoneNumber(10,"The phone number must contain 10 numbers.");

		
		objCCForm2.email.description = "email";
		
		
//objCCForm2.email.validate = true;
objCCForm2.email.validateEmail("No Validation.");

		
		objCCForm2.dealer.description = "dealer";
		
		objCCForm2.dealer.required = true;
		
		
		objCCForm2.dealer_location.description = "dealer_location";
		
		
				}
				catch (e)
				{
					//alert('Qforms attributes error:');
					//window.alert(e);
				}
				
				
				objCCForm2.onSubmit = completeform2;
				
				var els = document.ccform2.elements; 
				
				for(i=0; i<els.length; i++){ 
					if(els[i].type != "hidden" ){
						try {
							
							break;
						}
						catch (e)
						{
							//window.alert(e);
						}
					}
				}
				
				//////// end
				
				
		}
		
		
		//-->
		</script>
		
	
<script language="JavaScript1.2" src="site/ywd_prototype/library/javascript/sitespecific.js" type="text/javascript"></script>
<!-- BROKERBOX HEADER -->
</head>
<body 
		
		onload="ONLOADDocumentFunction()" 
		
		
		>

<div id="calendar"></div>
<div id="caldetail"></div>
<div id="csstips" style="display:none;z-index:100;"></div>


<div id="wrapper">
<div id="layoutsub">


<a name="top"></a>


    <div class="linearnavbar">
        <table border="0" align="right" cellpadding="0" cellspacing="0">	    
            <tr>
            	
                
                            <td>
                                <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home&amp;id=16156">Home</a>						
                            </td>
                        
                    
                            <td>
                                <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/About_us/Careers&amp;id=16175">Careers</a>						
                            </td>
                        
                    
                            <td>
                                <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Contact_sales_consultants&amp;id=16170">Contact sales consultants</a>						
                            </td>
                        
                    
                            <td>
                                <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Contact_us&amp;id=16174">Contact us</a>						
                            </td>
                        
                    
                            <td>
                                <a href="http://www.scicancanada.ca/index.cfm?pagepath=SciCan_University&amp;id=24836">SciCan University</a>						
                            </td>
                        
                    
                            <td>
                                <a href="http://www.scicancanada.ca/index.cfm?pagepath=Sitemap&amp;id=17092">Sitemap</a>						
                            </td>
                        
                    
                <td style="width:8px;padding:0px;"></td>
                
            </tr>
        </table>
    </div>


<table class="layout" border="0" cellspacing="0" cellpadding="0">
	<tr>
		<td id="shadowvertleft">&nbsp;</td>
		<td class="layoutleft">
        
			
            <div class="navbararea"  onclick="document.location.href='http://www.scicancanada.ca/index.cfm?pagepath=Home&amp;id=16156';">
                <div class="navbar">
                    
                        
                        <table class="navbuttons" border="0" cellspacing="0" cellpadding="0">
                            <tr>
								
                                
                                                <td class="navbutton"style=" border-left-style:none;" onmouseover="this.className='navbuttonrollover'" onmouseout="this.className='navbutton'"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Testimonials&amp;id=16157" class="navlinks">Testimonials</a></td>
                                            
                                        
                                                <td class="navbutton" onmouseover="this.className='navbuttonrollover'" onmouseout="this.className='navbutton'"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Dental_products&amp;id=16158" class="navlinks">Dental products</a></td>
                                            
                                        
                                                <td class="navbutton" onmouseover="this.className='navbuttonrollover'" onmouseout="this.className='navbutton'"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Medical_products&amp;id=16159" class="navlinks">Medical products</a></td>
                                            
                                        
                                                <td class="navbutton" onmouseover="this.className='navbuttonrollover'" onmouseout="this.className='navbutton'"><a href="http://www.scicancanada.ca/index.cfm?pagepath=My_SciCan&amp;id=16161" class="navlinks">My SciCan</a></td>
                                            
                                        
                            </tr>
                        </table>
                    
                </div>
            </div>
            
			
	<style type="text/css">
		.navbar, .navbararea {
			border-top-style:none;
			/*margin:0px;*/
			padding:0px;
		}
		
	</style>
	

<table align="left" class="contenttablesub" border="0" cellspacing="0" cellpadding="0">
	<tr>
<td colspan="3">


</td>
</tr>


    <tr>
        
		
	                <td class="leftcol">
	                	
						
	                        <table class="navleft" border="0" cellspacing="0" cellpadding="0">
	                            <tr>
	                                <td style="padding-left:0px;">
                                    
										
                                                        <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home&amp;id=16156" class="navleft1">
                                                        Home</a>
                                                    	
                                                
	                                </td>
	                            </tr>
                                <tr><td class="navleft2offset"></td></tr>
	                            
    
	                            <tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Tradeshows&amp;id=16162"class="navleft2">Tradeshows</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/News&amp;id=16163"class="navleft2">News</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/About_us&amp;id=16164"class="navleft2">About us</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Training_education&amp;id=16169"class="navleft2">Training & education</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Customer_technical_service&amp;id=16171"class="navleft2">Customer & technical service</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Contact_sales_consultants&amp;id=16170"class="navleft2">Contact sales consultants</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Promotions&amp;id=16172"class="navleft2">Promotions</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Register_your_warranty&amp;id=16173"class="navleft2current">Register your warranty</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Contact_us&amp;id=16174"class="navleft2">Contact us</a></td></tr><tr><td style="padding-left:0px;"><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Downloads&amp;id=19873"class="navleft2">Downloads</a></td></tr>
	                        </table>
                            
							
	                </td>
				
            
        <td class="contentmaincolsub">
	
	
		<div class="breadcrumbs">


	<div><a href="http://www.scicancanada.ca/index.cfm?pagepath=Home&amp;id=16156">Home</a>
		
	›
		
			<a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Register_your_warranty&amp;id=16173">Register your warranty</a></div>

</div>
	
    
			<h1 style="margin-top:0px;">Register your warranty</h1>
        
		
	<div id="content">
   
    
        	<div class="maincolbox">
                <div class="maincolcblock">
                    <div class="nwp">
			

	<div class="formarea">
	
		
        <table class="formtable" cellspacing="3" cellpadding="0">
    
        
			<form id="ccform2" name="ccform2" action="/index.cfm" method="post" enctype="multipart/form-data">
			
		
                <input name="ID" type="hidden" value="16173"><input name="pagepath" type="hidden" value="Home/Register_your_warranty">
                
                
                <input type="hidden" name="ProcessClientForm" value="true">
                <input type="hidden" name="ClientFormID" value="283">
                    
                
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Your SciCan serial number is:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="serial_number" type="text" value="" size="30" maxlength="100">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Your model number is:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="model_number" type="text" value="" size="30" maxlength="100">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
<tr><td valign="top" class="displayFieldLabel">Please select your model :&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents">
<select name="product_type">
	
	<option value="0">- select a model -</option>
	
	
		<option value="AQUASTAT water distiller">AQUASTAT water distiller</option>
		
		
		<option value="HYDRIM C51w">HYDRIM C51w</option>
		
		
		<option value="HYDRIM L110w">HYDRIM L110w</option>
		
		
		<option value="STATIM 900">STATIM 900</option>
		
		
		<option value="STATIM 2000">STATIM 2000</option>
		
		
		<option value="STATIM 5000">STATIM 5000</option>
		
		
		<option value="STATIM 7000">STATIM 7000</option>
		
		
		<option value="STATMATIC automatic handpiece maintenance unit">STATMATIC automatic handpiece maintenance unit</option>
		
		
		<option value="VISTABRITE water treatment unit">VISTABRITE water treatment unit</option>
		
		
</select>


</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Practice/Clinic name:&nbsp;</td><td valign="top" class="displayFieldContents"><input name="clinic_name" type="text" value="" size="30" maxlength="100">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
<tr><td valign="top" class="displayFieldLabel">Title:&nbsp;</td><td valign="top" class="displayFieldContents">
<select name="title">
	
	
		<option value="Dr.">Dr.</option>
		
		
		<option value="Miss">Miss</option>
		
		
		<option value="Mrs.">Mrs.</option>
		
		
		<option value="Mr. " selected="selected">Mr. </option>
		
		
</select>


</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">First name:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="first_name" type="text" value="" size="30" maxlength="30">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Middle initial:&nbsp;</td><td valign="top" class="displayFieldContents"><input name="middle_initial" type="text" value="" size="5" maxlength="5">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Last name:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="last_name" type="text" value="" size="30" maxlength="40">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Address:&nbsp;<span class="requiredField">*</span></td><td valign="top" class="displayFieldContents"><textarea name="address" cols="30" rows="3"></textarea>
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">City:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="city" type="text" value="" size="30" maxlength="100">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Province:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="province" type="text" value="" size="30" maxlength="100">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Postal code:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="postal_code" type="text" value="" size="7" maxlength="7">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Country:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="country" type="text" value="Canada" size="30" maxlength="30">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Business phone number:&nbsp;</td><td valign="top" class="displayFieldContents"><input name="business_number" type="text" value="" size="30" maxlength="30">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Business fax:&nbsp;</td><td valign="top" class="displayFieldContents"><input name="business_fax_number" type="text" value="" size="30" maxlength="30">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Email:&nbsp;</td><td valign="top" class="displayFieldContents"><input name="email" type="text" value="" size="30" maxlength="100">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Dealer:&nbsp;<span class="requiredField">*&nbsp;</span></td><td valign="top" class="displayFieldContents"><input name="dealer" type="text" value="" size="30" maxlength="100">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
	<tr><td valign="top" class="displayFieldLabel">Dealer branch or city:&nbsp;</td><td valign="top" class="displayFieldContents"><input name="dealer_location" type="text" value="" size="30" maxlength="100">
	
	
	</td></tr>
	
                        </td>
                    </tr>
                
                    
                    <tr>
                        <td>
                            
                                
                            <tr><td colspan="2">*Please note, SciCan will under no circumstances distribute this information to any third party.</td></tr>
                        </td>
                    </tr>
                
                
                    <tr>
                        <td>&nbsp;</td>
                    </tr>
                   
                    
                    <input type="hidden" name="captchaHash" value="F141FB6C-0070-897C-5CE5B5493385FB2E" />
                    <tr>
                        <td colspan="2">
                            
                            
                            Please enter the text that you see in the image below:  <input type="text" name="captchaText" size="10" />
                            
                            
                        </td>
                    </tr>
                    <tr>
                        <td colspan="2">
                            <img src="library/captcha/showCaptcha.cfm?hashReference=F141FB6C-0070-897C-5CE5B5493385FB2E" id="captchaImage" name= "captchaImage"/>
                        </td>
                            </tr>
                			
                    
                <tr>
                    <td>&nbsp;</td>
                </tr>
        
                <tr>
                    <td colspan="2" align="center" class="formtablesubmit">
                        <input name="submit" class="button_submit" type="submit" value="Submit"> 
                    </td>
                </tr>
				<tr>
                    <td>&nbsp;</td>
                </tr>
                
	
			</form>
			
				
        </table>
        
    
		<div style="margin:0px;padding:0px;height:0px;clear:both;"></div>


<!-- Google Search Result Snippet Ends -->


		</div>
                </div>
            </div>
		
		
    </div>
	
	
		<div class="contentbottomlinks">
			<table border="0" cellpadding="0" cellspacing="0">
				<tr>
					
                    
                            <td>
                                <!-- AddThis Button BEGIN -->
						        <a href="http://www.addthis.com/bookmark.php?v=250" onmouseover="return addthis_open(this, '', '[URL]', '[TITLE]')" onmouseout="addthis_close()" onclick="return addthis_sendto()"><img src="http://s7.addthis.com/static/btn/lg-share-en.gif" width="125" height="16" alt="Bookmark and Share" style="border:0"/></a><script type="text/javascript" src="http://s7.addthis.com/js/250/addthis_widget.js?pub=xa-4a2fe9ff189e32b2"></script>
						        <!-- AddThis Button END -->
                            </td>
							
						
				</tr>
			</table>
		</div>
	

</td>

        
    </tr>
</table>

			
        <br clear="all" /><div id="ywdbottom"><img src="site/scican/assets/images/sc_belowcontent.gif" alt="Bottom image" /></div>
    

   		</td>
	    <td id="shadowvert" style="background-repeat:repeat-y;"></td>
	</tr>
    
    
    <tr id="shadowbottomrow"><td id="shadowcornerleft"></td><td id="shadowhoriz"></td><td id="shadowcorner" style="background-repeat:no-repeat;"></td></tr>
	
    
<tr>
	<td id="shadowbottomleft"></td>
	<td>
		<table class="footer" cellspacing="0" cellpadding="0">
			<tr>
            	
                	
                    <td colspan="2" class="tertiarynav">
                        
                        
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Tradeshows&amp;id=16162">Tradeshows</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/News&amp;id=16163">News</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/About_us&amp;id=16164">About us</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Training_education&amp;id=16169">Training & education</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Customer_technical_service&amp;id=16171">Customer & technical service</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Contact_sales_consultants&amp;id=16170">Contact sales consultants</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Promotions&amp;id=16172">Promotions</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Register_your_warranty&amp;id=16173">Register your warranty</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Home/Contact_us&amp;id=16174">Contact us</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Legal&amp;id=16176">Legal</a>
                                
                            
                                        &nbsp;&nbsp;
                                    
                                    <a href="http://www.scicancanada.ca/index.cfm?pagepath=Privacy&amp;id=16177">Privacy</a>
                                
                            
                    </td>
                
			</tr>
			

	<tr><td colspan="2" class="footertext" style="width:100%;">&copy;&nbsp;2010 SciCan Ltd.</td></tr>


<tr>
	<td colspan="2" class="footerlogo">
    	
        
		<a href="http://www.yourwebdepartment.com" target="_blank">Powered by Your Web Department&#8482;&nbsp;&nbsp;<img src="/site/ywd_prototype/images/ywd_icon1.gif" width="21" height="21" border="0" align="absbottom" alt="Your Web Department&#8482;" title="Your Web Department&#8482;" /></a>
    </td>
</tr>


		</table>
	</td>
	<td>&nbsp;</td>
</tr>
    	</table>
    

    	</div>
</div>

 
<script type="text/javascript">

  var _gaq = _gaq || [];
  _gaq.push(['_setAccount', 'UA-17414955-2']);
  _gaq.push(['_trackPageview']);

  (function() {
    var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true;
    ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
    var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s);
  })();

</script>

</body>
</html>