Infant Optics Product Warranty Registration

Infant Optics Product Warranty Registration
Thank you for purchasing an Infant Optics monitor! Please complete this form to activate your warranty.
Name *

First Name Last Name
E-mail *
Product Purchased *

DXR-5 DXR-5+ DXR-8
Retailer purchased from *

Amazon.com Walmart.com Woot.com Diapers.com Best Buy Toys R Us Unknown Other option
I received this item as a gift *

Yes Yes, from baby registry No
This is a replacement unit sent from Infant Optics customer service *
This is my first Infant Optics baby monitor *
How did you hear about us?

Word of mouth Search engine Researched online Advertisement Existing customer Other option
Amazon order number (if applicable)
enter in format: xxx-xxxxxxx-xxxxxxx (17 digits), located on your packing slip document that came together with your item
Is your monitor working fine so far? *

Yes, everything is working as expected and I do not need help for now. No, something is wrong.
Should be Empty: