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  1. First name*
    Please enter your First name!
  2. Last name*
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  3. Gender*
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  4. Company*
    Please enter your Company name, if not applicable write “N/A”
  5. Country*
    Please select your country!

  6. If you are located outside of Greater Europe, please visit the corporate headquarters at: www.dino-lite.com
  7. Telephone number
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  8. Email*
    Please enter a valid Email Adress!
  9. Dino-Lite Model*
    Please enter your Dino-Lite model!
  10. Serial number (s/n)
    Please enter your Dino-Lite serial number which can be found on the service tag attached to the USB cable.
  11. Software Version*
    Please enter the Dino-Lite software being used!
  12. Operating System*
    Please select the Operating System being used!
  13. Purchased from
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  14. Problem description*
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  18. To retract the consent of collecting and storing my company/personal data please use this form

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