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Tap Machine Online Registration Form


Contact Name:

Business Name (if applicable)
Address: Phone Number (With Area Code):
Address Line 2: E-mail Address:
City, State , Zip Code
Primary Location

Where Purchased?
SERIAL NUMBER
Usually begins with J99 or JEM
Date Purchased MM/DD/YY / /
Comments:

    

ALL FIELDS ARE REQUIRED, EXCEPT:
Business Name (Not required for Personal Use), Address (Line 2), and Comments.

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