Nextar - Product Registration

Thank you for purchasing a Nextar Product.

Please fill out the form below to register your product. In order to help us provide you with better customer service and innovative, high quality products, please fill out the voluntary questionnaire. We are committed to your privacy. Please click here to view our Privacy Policy.

Please allow 4~6 weeks to process your mail-in product registration.

Account Information
Billing Information (Mailing/Home Address)
*First Name :	*Last Name :
*e-Mail :	(Please enter a valid email address as this will be our main means of contacting you)
Date of Birth:	(MM/DD/YYYY)
Company:
*Address :

*City :
*State ::
*Zip Code :
*Country :
*Tel :	Fax :

Shipping Information Same as above
*Address :

*City :
*State :
*Zip Code :
*Country :
*Tel :	Fax :

Product Information
*Store name: (where you bought the product)
*Date of Purchase: (MM/DD/YYYY)
*Category :