Student Warranty Registration

These services are currently available for customers in the U.S. only. If you need assistance for products outside the U.S., please contact your local sales and service office.

* indicates required field

CUSTOMER INFORMATION
First Name *
Last Name *
Email Address *
Address 1 *
Address 2
City *
State *
Zip / Postal Code *
Phone
Country *

DIAGNOSTIC SET (select all that apply)
97800 / 97850 / 97810
97200 / 97250 / 97210
97100 / 97150 / 97110
92820
92000 / 92100
Other

BLOOD PRESSURE (select all that apply)
DS58
DS66 / 5098
DS44 / DS45
Other

STETHOSCOPES (select all that apply)
5079-4XX
5079-3XX
5079-122 / 5079-125
5079-2XX
5079-135
Other

PLACE OF PURCHASE
Date of Purchase *
School Diagnostic / Equipment Sale
Bookstore
Local Distributor
www.welchallyn.com
Internet / Online Dealer (please specify)
Other

SCHOOL INFORMATION
School Name *
Program Type (i.e. DO, MD, PA, RN, etc.) *
School Location
State
Year in School *

Welch Allyn is committed to protecting your privacy. Your information will not be shared with any third parties or any other offers.

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Welch Allyn For Students

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	Fast, easy entry into undilated pupils
	5x larger view of the fundus vs. standard ophthalmoscopes in an undilated eye
	Demo
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