Belmont Warranty Registration – Belmont Dental Equipment

5-Year Limited Warranty – Belmont equipment is warranted by the manufacturer to be free from defective material and workmanship for a period of five (5) years from the date of shipment to the buyer. Upholstered products are warranted for a period of one (1) year.

Belmont will repair and replace any defective original manufactured part under this warranty, provided the part or the equipment is returned to our factory by prepaid shipment. All repairs must be performed by one of Belmont’s authorized distributors.

This warranty is void when failure or defect is caused by conditions beyond the manufacturer’s control, such as damage caused by mishandling, neglect, misuse, improper maintenance, accident or alteration or repair by anyone other than a Belmont authorized distributor. Labour required to repair, replace or retrofit is not included during the warranty period by the manufacturer.

Belmont shall not be liable for consequential or incidental damages. No person, agent, distributor or dealer is authorized to change or modify this warranty in any manner.

To register this warranty, the owner must fill in and submit this form within 10 days of installation.

NOTE: All accessory items manufactured by other companies will be covered by that manufacturers warranty even if installed by Belmont.

Warranty Registration Information

Model No. *

Enter the model number of the product you are registering

Serial No. *

Enter the Serial Number of the product you are registering

Installation Date *

What date was this product Installed or Delivered.

Purchaser Name & Address

This is your address information. Either your home or clinic address.

Name *

First

Last

Enter the First and Last Name of the person whom this product will be registered to, and whom the Warranty will be attached.

Email Address

Confirm Email

Which email address would you like us to use to inform you of any important information regarding your Belmont product? (Not Required)

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Phone

Enter the phone number that is best used to contact you. (Not Required)

Belmont Equipment Distributor Information

Enter the information regarding your Authorized Belmont Equipment Distributor

Name of Distributor *

Enter the name of the Authorized Belmont Equipment Distributor Above

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Form Submission Verification

To ensure that your Warranty was submitted correctly, please input your email address for confirmation below.

Warranty Confirmation Email *

Confirm Email

We can send this confirmation message that your Warranty Information was submitted successfully to a different email address than the one provided above. Please fill this in again if the address is the same. The above email address under name is kept on file for future notices. This email address is used once for form submission confirmation.

Name

Thank You for choosing Belmont Equipment, we appreciate your business!